DR. ANDREW RICHARD DRERUP (NPI# 1912129909) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912129909 |
| Entity Type | Individual |
| Full Name | DR. ANDREW RICHARD DRERUP |
| Credential | DDS |
| Practice Address |
3366 Burton Se Grand Rapids MI 49546 |
| Mailing Address |
2074 Feathery Court Grand Rapids MI 49546 |
| Practice Telephone | 6169493541 |
| Mailing Telephone | 6166170634 |
| Enumeration Date | 2007-05-02 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1223E0200X |
Dentist Specialization: Endodontics |
5254 | AL | Dental Providers |
| N | 1223E0200X |
Dentist Specialization: Endodontics |
12010491A | IN | Dental Providers |
| Y | 1223E0200X |
Dentist Specialization: Endodontics |
2901019067 | MI | Dental Providers |
| Street Address |
3366 BURTON SE |
| City | GRAND RAPIDS |
| State | MI |
| Zip Code | 49546 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902028590 | Geoffrey Hunt Robert | Dentist | 3366 Burton Se, Grand Rapids, MI 49546 | 2007-05-03 |
| 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 | 1223E0200X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Endodontics |
| The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568684959 | West Michigan Endodontists | Dentist | 3366 Burton Street, Se, Grand Rapids, MI 49546-5343 | 2007-05-03 |
| 1780701524 | Scott Jeffrey Hodges | Dentist | 3366 Burton St Se, Grand Rapids, MI 49546-4353 | 2007-03-26 |
| 1912913153 | David C Gruber | Dentist | 3320 Alpine Ave Nw, Grand Rapids, MI 49544-1677 | 2006-07-31 |
| 1861419640 | Halvorson & Hembrough D.d.s, .m.s., PC | Dentist | 4355 Sawkaw Dr Ne, Grand Rapids, MI 49525-1768 | 2006-07-16 |
| 1932554995 | Forest Hills Dental, P.C. | Dentist | 4500 Cascade Rd Se, Ste. 107, Grand Rapids, MI 49546-3665 | 2016-04-27 |
| 1578952032 | A A Doering Endodontics Pllc | Dentist | 2450 44th St Se, 201, Grand Rapids, MI 49512-9081 | 2015-01-21 |
| 1952514242 | Lawrence Raymond Marcotte | Dentist | 3366 Burton St Se, Grand Rapids, MI 49546-4353 | 2007-05-07 |
| 1902028590 | Geoffrey Hunt Robert | Dentist | 3366 Burton Se, Grand Rapids, MI 49546 | 2007-05-03 |
| 1043438286 | Aric C. Smith | Dentist | 3366 Burton St Se, Grand Rapids, MI 49546-4353 | 2007-04-23 |
| 1376609222 | Alan Carl Doering | Dentist | 2450 44th St Se, Ste 201, Grand Rapids, MI 49512-3802 | 2006-12-28 |
| Find all providers in GRAND RAPIDS | ||||
| City | GRAND RAPIDS |
| Zip Code | 49546 |
Please comment or provide details below to improve the information on DR. ANDREW RICHARD DRERUP.
| 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.