Healthcare Provider Details

I. General information

NPI: 1174491807
Provider Name (Legal Business Name): ARBOR ENDODONTICS PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/24/2025
Last Update Date: 10/24/2025
Certification Date: 10/06/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3263 N EVERGREEN DR NE
GRAND RAPIDS MI
49525
US

IV. Provider business mailing address

3263 N EVERGREEN DR NE
GRAND RAPIDS MI
49525
US

V. Phone/Fax

Practice location:
  • Phone: 616-466-5550
  • Fax: 616-466-5551
Mailing address:
  • Phone: 616-466-5550
  • Fax: 616-466-5551

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223E0200X
TaxonomyEndodontics
License Number
License Number State

VIII. Authorized Official

Name: ESHWAR ARASU
Title or Position: ENDODONTIST
Credential: DMD
Phone: 614-804-7382