Most Relevant Information
Provider Data
| NPI Number: | 1003296781 |
| Provider Name: | ROBERT GRAHAM GREENLAND DDS, MS |
| Entity Type: | Individual |
| Taxonomy Code: | 1223P0700X |
| Specialty: | Dentist |
| License Number: | 2901601005 |
Most Important Dates
| Enumeration Date: | 06/08/2015 |
| Last Updated: | 01/04/2022 |
Provider Practice Location
1179 E PARIS AVE SE STE 100
GRAND RAPIDS
MI
495463682
Practice Location Phone/Fax
| Phone: | 6162568770 |
| Fax: | 6163277452 |
Provider Mailing Location
1179 E PARIS AVE SE STE 100
GRAND RAPIDS
MI
495463682
Provider Mailing Phone/Fax
| Phone: | 6162568770 |
| Fax: | 6163277452 |