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DR. ELDIB FORT GRATIOT, PLLC
NPI 1841023264
Clinic/Center - Dental in Fort Gratiot, MI

Active since August 21, 2024
4036 24TH AVE, FORT GRATIOT, MI 48059(810) 385-9766(810) 990-8403 Get Directions Write a Review

NPPES record last updated: March 24, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 24, 2025, Aug 21, 2024 (2 updates tracked since 2024).

About Dr. Eldib Fort Gratiot, Pllc NPPES

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

DR. ELDIB FORT GRATIOT, PLLC (NPI 1841023264), doing business as New Era Dental, is a healthcare organization registered as a dental in Fort Gratiot, Michigan and active in the NPI registry since August 2024. The organization lists Kelley Varga, Director Of Business Operations, as its authorized official.

NPPES Registry Identity

NPI1841023264
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameDR. ELDIB FORT GRATIOT, PLLC
Location Address4036 24TH AVEFort Gratiot, MI 48059-3800
Mailing Address4036 24th AveFort Gratiot, MI 48059-3800 · (810) 385-9766 · Fax (810) 990-8403
Phone(810) 385-9766
Fax(810) 990-8403
Organization SubpartNo
Authorized OfficialKelley VargaDirector Of Business Operations · (734) 808-0000
Enumeration DateAugust 21, 2024
Last NPPES UpdateMarch 24, 20252 updates tracked since enumeration
NPPES CertifiedMarch 24, 2025
✔ NPI 1841023264 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
Also ListedDentist · General PracticeTaxonomy 1223G0001X
4036 24TH AVE, Fort Gratiot, MI 48059
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Other Names 1

Doing Business AsNew Era Dental

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Other Providers at the Same Location NPPES 6

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

LINDSEY J ADAMS DDS
Dentist (General Practice)
4036 24TH AVE
FORT GRATIOT, MI 48059
St. Clair County (810) 385-9766
RADWA ELREFAI
Dentist
4036 24TH AVE
FORT GRATIOT, MI 48059
St. Clair County (810) 432-0152
MICHIGAN RESTORATIVE INSTITUTE, PLLC
Dentist
4036 24TH AVE
FORT GRATIOT, MI 48059
St. Clair County (810) 385-9766
DR. CELESTE RUHIA CORNELL-VALDES DDS
Dentist (General Practice)
4036 24TH AVE
FORT GRATIOT, MI 48059
St. Clair County (810) 385-9766
VALCOR DENTAL CENTER PC
Dentist (General Practice)
4036 24TH AVE
FORT GRATIOT, MI 48059
St. Clair County (810) 385-9766
MICHIGAN RESTORATIVE INSTITUTE, PLLC
Dentist (General Practice)
4036 24TH AVE
FORT GRATIOT, MI 48059
St. Clair County (810) 385-9766

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 Dr. Eldib Fort Gratiot, PLLC's NPI number?

The NPI number for Dr. Eldib Fort Gratiot, PLLC is 1841023264. It was assigned to this organization in the NPPES registry on August 21, 2024. The provider is doing business as New Era Dental.

Where is Dr. Eldib Fort Gratiot, PLLC located?

Dr. Eldib Fort Gratiot, PLLC is located at 4036 24th Ave, Fort Gratiot, MI 48059. The listed phone number is (810) 385-9766.

What is Dr. Eldib Fort Gratiot, PLLC's specialty?

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

What insurance does Dr. Eldib Fort Gratiot, PLLC accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Dr. Eldib Fort Gratiot, PLLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Dr. Eldib Fort Gratiot, PLLC was last updated on March 24, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.