Provider Demographics
NPI:1265595102
Name:RIOPELLE, DARREN M (DDS)
Entity type:Individual
Prefix:DR
First Name:DARREN
Middle Name:M
Last Name:RIOPELLE
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:128 COLUMBUS AVE
Mailing Address - Street 2:
Mailing Address - City:GRAND HAVEN
Mailing Address - State:MI
Mailing Address - Zip Code:49417-1224
Mailing Address - Country:US
Mailing Address - Phone:616-268-2090
Mailing Address - Fax:616-215-1320
Practice Address - Street 1:1203 S BEECHTREE ST
Practice Address - Street 2:
Practice Address - City:GRAND HAVEN
Practice Address - State:MI
Practice Address - Zip Code:49417
Practice Address - Country:US
Practice Address - Phone:616-850-3970
Practice Address - Fax:616-850-3976
Is Sole Proprietor?:No
Enumeration Date:2006-12-19
Last Update Date:2020-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI168201223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice