DR. DOUGLAS EUGENE LADUE III D.D.S
NPI 1376771618
Dentist - Pediatric Dentistry in Grand Rapids, MI

Active since June 25, 2009
2017 EASTCASTLE DR SE, SUITE A, GRAND RAPIDS, MI 49508(616) 455-4646 Get Directions Write a Review

NPPES record last updated: December 15, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Douglas Eugene Ladue Iii D.d.s NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. DOUGLAS EUGENE LADUE III D.D.S (NPI 1376771618) is an individual pediatric dentistry provider in Grand Rapids, Michigan, licensed in Michigan (2901020005) and active in the NPI registry since June 2009.

NPPES Registry Identity

NPI1376771618
Entity TypeIndividualMale
Primary Taxonomy1223P0221X
Provider Legal NameDR. DOUGLAS EUGENE LADUE IIICredential: D.D.S
Location Address2017 EASTCASTLE DR SE, SUITE AGrand Rapids, MI 49508-8872
Mailing Address2017 Eastcastle Dr Se, Suite AGrand Rapids, MI 49508-8872 · (616) 455-4646
Sole ProprietorNo
Enumeration DateJune 25, 2009
Last NPPES UpdateDecember 15, 2021
NPPES CertifiedDecember 15, 2021
NPI 1376771618 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
License Licensed in MI · 2901020005
Definition

An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

Also ListedDentist · General PracticeTaxonomy 1223G0001X · License 2901020005 (MI)
2017 EASTCASTLE DR SE, Grand Rapids, MI 49508

Accepted Insurance

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist (Oral and Maxillofacial Surgery)
2017 EASTCASTLE DR SE, SUITE C
GRAND RAPIDS, MI 49508
Dentist
2017 EASTCASTLE DR SE, SUITE B
GRAND RAPIDS, MI 49508
Dentist (Oral and Maxillofacial Surgery)
2017 EASTCASTLE DR SE, SUITE C
GRAND RAPIDS, MI 49508

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1376771618, enumerated as an "individual" on June 25, 2009.

The provider is located at 2017 EASTCASTLE DR SE SUITE A GRAND RAPIDS, MI 49508 and the phone number is (616) 455-4646.

Dentist with taxonomy code 1223P0221X and a focus in Pediatric Dentistry.

The provider might be accepting Accepts: Delta Dental of Michigan. Please consult your insurance carrier or call the provider to verify.