Provider Demographics
NPI:1952032385
Name:JD ARBUTANTE DDS PC
Entity Type:Organization
Organization Name:JD ARBUTANTE DDS PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JOEY
Authorized Official - Middle Name:
Authorized Official - Last Name:ARBUTANTE
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:616-842-0090
Mailing Address - Street 1:17357 VAN WAGONER RD STE 1
Mailing Address - Street 2:
Mailing Address - City:SPRING LAKE
Mailing Address - State:MI
Mailing Address - Zip Code:49456-8831
Mailing Address - Country:US
Mailing Address - Phone:616-842-0090
Mailing Address - Fax:616-842-8970
Practice Address - Street 1:17357 VAN WAGONER RD STE 1
Practice Address - Street 2:
Practice Address - City:SPRING LAKE
Practice Address - State:MI
Practice Address - Zip Code:49456-8831
Practice Address - Country:US
Practice Address - Phone:616-842-0090
Practice Address - Fax:616-842-8970
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-06-17
Last Update Date:2022-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental