Provider Demographics
NPI:1033859384
Name:LUDINGTON FAMILY DENTAL PLLC
Entity Type:Organization
Organization Name:LUDINGTON FAMILY DENTAL PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:ERIC
Authorized Official - Middle Name:DORIAN
Authorized Official - Last Name:REUM
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:231-690-6820
Mailing Address - Street 1:1020 N BEECHWOOD DR
Mailing Address - Street 2:
Mailing Address - City:LUDINGTON
Mailing Address - State:MI
Mailing Address - Zip Code:49431-1320
Mailing Address - Country:US
Mailing Address - Phone:231-690-6820
Mailing Address - Fax:
Practice Address - Street 1:102 S WASHINGTON AVE
Practice Address - Street 2:
Practice Address - City:LUDINGTON
Practice Address - State:MI
Practice Address - Zip Code:49431-2283
Practice Address - Country:US
Practice Address - Phone:231-690-6820
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-04-01
Last Update Date:2022-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty