Organization
CASCADE FAMILY DENTISTRY PC
Active
Other names
esmiles
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROSANNE SCIGLIANO EGGLESTON DDS (PRESIDENT)
(616) 682-0147
Entity
Organization
Contact information
Practice address
6883 CASCADE RD SE, GRAND RAPIDS, MI 49546-6899
(616) 682-0147
Mailing address
6883 CASCADE RD SE, GRAND RAPIDS, MI 49546-6899
(616) 682-0147
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2901015835
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
J800194
BLUE CROSS BLUE SHIELD
MI
Enumeration date
05/18/2006
Last updated
08/22/2020
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