A Dental Center-Downriver

LBN: A Dental Center-Downriver
A Dental Center-Downriver is an health care organization with primary practice located at 17128 Fort St , Riverview MI 48193-6619. The organization recently has only one registered license in Managed Care Organizations / Point of Service, which is considered as the primary health care specialty. A Dental Center-Downriver can be contacted via phone (734) 281-3200, or through Potocsky, Howard via phone (734) 281-3200.

Contact Information

Primary practice address
17128 Fort St Riverview MI 48193-6619
Phone: (734) 281-3200
Fax: (734) 281-3890
Website:
Map and Directions
Authorized official contact:
Name: Potocsky, Howard Doctor of Dental Surgery (DDS)
Phone: (734) 281-3200

Health care specialties

SpecialtyCodeLicense #State
Managed Care Organizations / Point of Service 305S00000X 17288 Michigan

Profile Details

NPI number 1528064771
LBN Legal business name A Dental Center-Downriver
DBA Doing business as
Authorized official Potocsky, Howard Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 22nd, 2005
Last updated Sep 5th, 2007 - about 18 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1528064771 NPPES
Michigan Other D172880 BLUE CROSS BLUE SHIELD

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