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Jonathan D Eagle DDS PC

NPI 1982744249ActiveOrganization· Dentist· Grand Rapids, MI

Dentist in Grand Rapids, Michigan, registered in NPPES in February 2007. The authorized official on file is Johnathan D. Eagle, DDS PC, President.

Overview

NPI1982744249
StatusActive
Entity typeOrganization
NPI issuedFeb 7, 2007
Last updated in NPPESNov 22, 2023

Specialties and licenses

TaxonomyCodeLicenseState
Dentist Primary122300000X2901015645MI

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

Other dentists in Grand Rapids

All 161 dentists in Grand Rapids · All dentists in Michigan