Provider Demographics
NPI:1710069448
Name:METTE, ROBERT CRAIG (DDS)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:CRAIG
Last Name:METTE
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2 N MONROE ST
Mailing Address - Street 2:
Mailing Address - City:ROCKFORD
Mailing Address - State:MI
Mailing Address - Zip Code:49341-1228
Mailing Address - Country:US
Mailing Address - Phone:616-866-7720
Mailing Address - Fax:616-866-7723
Practice Address - Street 1:2 N MONROE ST
Practice Address - Street 2:
Practice Address - City:ROCKFORD
Practice Address - State:MI
Practice Address - Zip Code:49341-1228
Practice Address - Country:US
Practice Address - Phone:616-866-7720
Practice Address - Fax:616-866-7723
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-20
Last Update Date:2008-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI29010131781223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice