SAMUEL T. BANDER, DDS, PLC (NPI# 1265059570) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265059570 |
| Entity Type | Organization |
| Organization Name | SAMUEL T. BANDER, DDS, PLC |
| Practice Address |
1151 E Paris Ave Se Ste 100 Grand Rapids MI 49546-8369 |
| Practice Telephone | 6169495980 |
| Mailing Telephone | 6169495980 |
| Enumeration Date | 2020-07-02 |
| Last Update Date | 2020-07-02 |
| Authorized Official Name | CARMEN BOLLINGER (PRACTICE MANAGER) |
| Authorized Official Telephone | 6169495980 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
Dental Providers |
| Other Name | Type Code |
|---|---|
| Bander Dental Group | Doing Business As Name - Organization |
| Street Address |
1151 E PARIS AVE SE STE 100 |
| City | GRAND RAPIDS |
| State | MI |
| Zip Code | 49546-8369 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437762986 | Amanda Mae Ostrom | Speech-Language Pathologist | 710 Kenmore Ave Se, #110, Grand Rapids, MI 49546 | 2020-08-25 |
| 1063075562 | Kelly Lynn Ibarra | Counselor | 4467 Cascade Road Se, Suite #4479, Grand Rapids, MI 49546 | 2019-04-19 |
| 1891257036 | Jessica Matthews LLC | Counselor | 4127 Embassy Drive Se, Grand Rapids, MI 49546 | 2019-04-05 |
| 1326518531 | Neah Morgan | Technician | 4220 Burton St Se, Grand Rapids, MI 49546 | 2018-11-29 |
| 1316430267 | Michael John Benskey | Case Manager/Care Coordinator | 4065 Saladin St Se, Grand Rapids, MI 49546 | 2018-06-14 |
| 1679062772 | Smile Cascade, P.C. | Clinic/Center | 4505 Cascade Rd Se # A, Grand Rapids, MI 49546 | 2018-05-03 |
| 1720583289 | Jeromy Krogman | Counselor | 826 Parchment Drive Se, Grand Rapids, MI 49546 | 2018-03-27 |
| 1841792660 | Affordable Hearing Clinic | Hearing Instrument Specialist | 833 Kenmoor Ave Se Ste G, Grand Rapids, MI 49546 | 2018-03-07 |
| 1689176133 | Kelly Pines | Physical Therapist | 625 Kenmoor Ave Suite 306, Grand Rapids, MI 49546 | 2018-03-01 |
| 1467971440 | Deanna Elizabeth Saenz | Social Worker | 2100 Raybrook St Se Ste 300, Grand Rapids, MI 49546 | 2017-09-12 |
| Find all providers in zip 49546 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295360428 | Dj Edgerle, Dds, PC | Dentist | 751 Kenmoor Ave Se Ste G, Grand Rapids, MI 49546-2391 | 2020-03-09 |
| 1639638265 | Mark E Peterson, Dds | Dentist | 2440 Gaynor Ave Nw, Grand Rapids, MI 49544-1830 | 2019-03-13 |
| 1811463730 | Ryan C. Van Haren, Dds Pllc | Dentist | 2144 E Paris Ave Se Ste 110, Grand Rapids, MI 49546-6111 | 2018-10-18 |
| 1386138881 | Jayson Lynn Clore | Dentist | 334 68th St Sw, Grand Rapids, MI 49548-7179 | 2018-06-18 |
| 1154788230 | Kb Family Dentistry Plc | Dentist | 3167 Kalamazoo Ave Se # 1, Grand Rapids, MI 49508-1475 | 2016-01-21 |
| 1821471616 | Healthy Smile Plc | Dentist | 2021 44th St Sw, Grand Rapids, MI 49508 | 2015-06-30 |
| 1841694387 | Jerry B. Mulder Dds Plc | Dentist | 515 Michigan St Ne Ste 202, Grand Rapids, MI 49503-5721 | 2014-10-13 |
| 1609277854 | Alexis Neuman | Dentist | 3930 Burton St Se, Grand Rapids, MI 49546-5819 | 2014-09-08 |
| 1124439476 | Bryton Mansfield | Dentist | 1636 Leonard St Nw, Grand Rapids, MI 49504-3950 | 2014-05-08 |
| 1659709145 | W Erick Rupprecht Dds Pllc | Dentist | 2554 Woodmeadow Dr Se Ste A, Grand Rapids, MI 49546-8033 | 2013-10-22 |
| Find all providers in GRAND RAPIDS | ||||
| City | GRAND RAPIDS |
| Zip Code | 49546 |
Please comment or provide details below to improve the information on SAMUEL T. BANDER, DDS, PLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.