Provider Demographics
NPI:1619469046
Name:NARTKER, ERIN (DDS)
Entity Type:Individual
Prefix:
First Name:ERIN
Middle Name:
Last Name:NARTKER
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:336 MANHATTAN RD SE
Mailing Address - Street 2:
Mailing Address - City:E GRAND RAPID
Mailing Address - State:MI
Mailing Address - Zip Code:49506-2019
Mailing Address - Country:US
Mailing Address - Phone:248-921-3436
Mailing Address - Fax:
Practice Address - Street 1:2005 LEONARD ST NW
Practice Address - Street 2:
Practice Address - City:GRAND RAPIDS
Practice Address - State:MI
Practice Address - Zip Code:49504-3827
Practice Address - Country:US
Practice Address - Phone:616-453-5331
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-06-01
Last Update Date:2023-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI29010225841223G0001X, 122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
No1223G0001XDental ProvidersDentistGeneral Practice