Provider Demographics
NPI:1821519513
Name:MONETTE, NATALIE BARBARA DOWNS (DDS)
Entity Type:Individual
Prefix:DR
First Name:NATALIE
Middle Name:BARBARA DOWNS
Last Name:MONETTE
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:NATALIE
Other - Middle Name:BARBARA
Other - Last Name:DOWNS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DDS
Mailing Address - Street 1:2757 LEONARD ST NE
Mailing Address - Street 2:STE 100
Mailing Address - City:GRAND RAPIDS
Mailing Address - State:MI
Mailing Address - Zip Code:49525
Mailing Address - Country:US
Mailing Address - Phone:616-940-0481
Mailing Address - Fax:
Practice Address - Street 1:2757 LEONARD ST NE
Practice Address - Street 2:STE 100
Practice Address - City:GRAND RAPIDS
Practice Address - State:MI
Practice Address - Zip Code:49525
Practice Address - Country:US
Practice Address - Phone:616-940-0481
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-07-03
Last Update Date:2019-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI29010223821223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice