IndividualActive
Brant Erbentraut, D.D.S.
NPI 1609961374 · Oral and Maxillofacial Surgery (Dentist) · Grand Rapids, MI
Provider details
- NPI number
- 1609961374
- Entity type
- Individual
- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)Dental Providers
- Credential
- D.D.S.
- Sex
- Male
- Sole proprietor
- No
- License
- 2901018125 (MI)
Specialties & taxonomies
Dental Providers
Practice location
2140 Lake Michigan Dr Nw
Grand Rapids, MI 49504-4785
Phone: (616) 735-2870
Fax: (616) 735-2871
Approximate (ZIP-level) locationGet directions
Mailing address
2140 Lake Michigan Dr Nw
Grand Rapids, MI 49504-4785
Registry dates
- Enumerated
- 2006-10-04
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.