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Jonathan Eagle, D.D.S
NPI 1720261126 · on the registry since 2007 · sole proprietor
Practice
- Address
- 1750 Grand Ridge Court Ne
Suite 202
Grand Rapids, MI 49525 - Phone
- (616) 361-9330
- Fax
- (616) 361-7095
- Organisation at this address
- Jonathan D Eagle Dds Pc
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 122300000X
122300000X
- Licence states on file
- MI
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2023-11-22
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan