Provider Demographics
NPI:1497860191
Name:VALLEAU-HIER, AIMEE CHRISTINE (DDS)
Entity Type:Individual
Prefix:DR
First Name:AIMEE
Middle Name:CHRISTINE
Last Name:VALLEAU-HIER
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:DR
Other - First Name:AIMEE
Other - Middle Name:CHRISTINE
Other - Last Name:VALLEAU
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DDS
Mailing Address - Street 1:2000 43RD ST SE
Mailing Address - Street 2:SUITE B
Mailing Address - City:GRAND RAPIDS
Mailing Address - State:MI
Mailing Address - Zip Code:49508-8700
Mailing Address - Country:US
Mailing Address - Phone:616-455-1301
Mailing Address - Fax:616-455-6533
Practice Address - Street 1:2000 43RD ST SE
Practice Address - Street 2:SUITE B
Practice Address - City:GRAND RAPIDS
Practice Address - State:MI
Practice Address - Zip Code:49508-8700
Practice Address - Country:US
Practice Address - Phone:616-455-1301
Practice Address - Fax:616-455-6533
Is Sole Proprietor?:No
Enumeration Date:2006-08-20
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI29010168831223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry
Provider Identifiers
StateIdentifier IDID TypeIssuer
BV5080293OtherFEDERAL DEA