Individual provider · Type 1 NPI
Kathleen Marie Eisin, D.D.S, M.S., PLLC
Periodontics · Grand Rapids, MI
NPI number
1386780666
Active
Practice location
6677 Crossings Drive SE, Suite #3
Grand Rapids, MI 49508
Fax (616) 656-0400
Mailing address
6677 Crossings Dr SE
Grand Rapids, MI 49508-7889
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Periodontics Primary | 1223P0300X | 2901018765 (MI) |
Periodontics: That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
Another provider at this address
Other periodontics providers in Grand Rapids
About NPI 1386780666
Kathleen Marie Eisin, D.D.S, M.S., PLLC's National Provider Identifier is 1386780666, issued on Jan 30, 2007. The primary taxonomy on file is Periodontics (1223P0300X), and the practice location is in Grand Rapids, MI. The record was last updated on Jul 8, 2007.