Provider Demographics
NPI:1326787888
Name:MONETTE DENTISTRY
Entity Type:Organization
Organization Name:MONETTE DENTISTRY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:NATALIE
Authorized Official - Middle Name:
Authorized Official - Last Name:MONETTE
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:616-884-4100
Mailing Address - Street 1:6739 COURTLAND DR NE STE 103
Mailing Address - Street 2:
Mailing Address - City:ROCKFORD
Mailing Address - State:MI
Mailing Address - Zip Code:49341-7217
Mailing Address - Country:US
Mailing Address - Phone:616-389-0883
Mailing Address - Fax:855-201-3492
Practice Address - Street 1:6739 COURTLAND DR NE STE 103
Practice Address - Street 2:
Practice Address - City:ROCKFORD
Practice Address - State:MI
Practice Address - Zip Code:49341-7217
Practice Address - Country:US
Practice Address - Phone:616-389-0883
Practice Address - Fax:855-201-3492
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-06-02
Last Update Date:2023-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental