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ELIAS DENTAL LAB
NPI 1720685399
Clinic/Center - Dental in Grand Rapids, MI

Active since October 06, 2020
535 GREENWOOD AVE SE STE 100, GRAND RAPIDS, MI 49506(616) 458-2048(616) 458-1311 Get Directions Write a Review

NPPES record last updated: October 6, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Elias Dental Lab NPPES

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

ELIAS DENTAL LAB (NPI 1720685399) is a healthcare organization registered as a dental in Grand Rapids, Michigan and active in the NPI registry since October 2020. The organization lists Richard J Elias, Dentist/owner, as its authorized official.

NPPES Registry Identity

NPI1720685399
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameELIAS DENTAL LAB
Location Address535 GREENWOOD AVE SE STE 100Grand Rapids, MI 49506-2901
Mailing Address535 Greenwood Ave Se Ste 100Grand Rapids, MI 49506-2901 · (616) 458-2048 · Fax (616) 458-1311
Phone(616) 458-2048
Fax(616) 458-1311
Organization SubpartNo
Authorized OfficialRichard J EliasDentist/owner · (616) 458-2048
Enumeration DateOctober 6, 2020
NPPES CertifiedOctober 6, 2020
✔ NPI 1720685399 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
535 GREENWOOD AVE SE STE 100, Grand Rapids, MI 49506
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Other Identifiers 1

Medicaid1093930125MI

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Elias Dental Lab's NPI number?

The NPI number for Elias Dental Lab is 1720685399. It was assigned to this organization in the NPPES registry on October 6, 2020.

Where is Elias Dental Lab located?

Elias Dental Lab is located at 535 Greenwood Ave SE Ste 100, Grand Rapids, MI 49506. The listed phone number is (616) 458-2048.

What is Elias Dental Lab's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

When was this NPI record last updated?

The NPPES record for Elias Dental Lab was last updated on October 6, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.