Provider Demographics
NPI:1407063431
Name:ARMBRECHT, DAVID LANDON (DMD)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:LANDON
Last Name:ARMBRECHT
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:2000 43RD ST SE
Mailing Address - Street 2:SUITE A
Mailing Address - City:GRAND RAPIDS
Mailing Address - State:MI
Mailing Address - Zip Code:49508-8700
Mailing Address - Country:US
Mailing Address - Phone:616-455-4800
Mailing Address - Fax:616-455-0930
Practice Address - Street 1:2000 43RD ST SE
Practice Address - Street 2:SUITE A
Practice Address - City:GRAND RAPIDS
Practice Address - State:MI
Practice Address - Zip Code:49508-8700
Practice Address - Country:US
Practice Address - Phone:616-455-4800
Practice Address - Fax:616-455-0930
Is Sole Proprietor?:No
Enumeration Date:2007-05-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI188121223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics