Battle Creek Oral And Maxillofacial Surgery

LBN: Battle Creek Oral And Maxillofacial Surgery
Battle Creek Oral And Maxillofacial Surgery is an health care organization with primary practice located at 3610 Capital Avenue Sw , Battle Creek MI 49015. The organization recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as the primary health care specialty. Battle Creek Oral And Maxillofacial Surgery can be contacted via phone (269) 965-1339, or through Lewis, Wendy H via phone (269) 965-1339.

Contact Information

Primary practice address
3610 Capital Avenue Sw Battle Creek MI 49015
Fax: (269) 965-2281
Website:
Authorized official contact:
Name: Lewis, Wendy H

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X 11052 Michigan
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X 14976 Michigan

Profile Details

NPI number 1548443294
LBN Legal business name Battle Creek Oral And Maxillofacial Surgery
DBA Doing business as
Authorized official Lewis, Wendy H
Entity Organization
Organization subpart 1 No
Enumeration date Dec 17th, 2007
Last updated Dec 17th, 2007 - about 17 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 1548443294 NPPES
Michigan MEDICAID 3020670
Michigan MEDICAID 4061917
Michigan MEDICAID 3020698
Michigan MEDICAID 2582361

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