Portage Pediatric Dentistry Plc

LBN: Cbmi2 Pllc
Portage Pediatric Dentistry Plc is an health care organization with primary practice located at 3020 Old Centre Rd , Portage MI 49024-4883. The organization recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as the primary health care specialty. Cbmi2 Pllc can be contacted via phone (269) 323-8016, or through Guevara, Carol via phone (616) 264-4709.

Contact Information

Primary practice address
3020 Old Centre Rd Portage MI 49024-4883
Phone: (269) 323-8016
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Guevara, Carol
Phone: (616) 264-4709

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Pediatric Dentistry 1223P0221X

Profile Details

NPI number 1205693181
LBN Legal business name Cbmi2 Pllc
DBA Doing business as Portage Pediatric Dentistry Plc
Authorized official Guevara, Carol
Entity Organization
Organization subpart 1 No
Enumeration date Mar 6th, 2024
Last updated Mar 6th, 2024 - about last year

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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