Provider Demographics
NPI:1790517043
Name:BRIAN J BUURMA DDS MS
Entity type:Organization
Organization Name:BRIAN J BUURMA DDS MS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:MELISSA
Authorized Official - Middle Name:
Authorized Official - Last Name:ARENS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:616-994-9722
Mailing Address - Street 1:3290 N WELLNESS DR STE 270
Mailing Address - Street 2:
Mailing Address - City:HOLLAND
Mailing Address - State:MI
Mailing Address - Zip Code:49424-7260
Mailing Address - Country:US
Mailing Address - Phone:616-994-9722
Mailing Address - Fax:616-994-9733
Practice Address - Street 1:3290 N WELLNESS DR STE 270
Practice Address - Street 2:
Practice Address - City:HOLLAND
Practice Address - State:MI
Practice Address - Zip Code:49424-7260
Practice Address - Country:US
Practice Address - Phone:616-994-9722
Practice Address - Fax:616-994-9733
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-08-15
Last Update Date:2024-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223E0200XDental ProvidersDentistEndodonticsGroup - Single Specialty