Children'S Dental Care Of Detroit

LBN: Childrens Dental Care Of Detroit
Children'S Dental Care Of Detroit is an health care organization with primary practice located at 430 Mack Ave , Detroit MI 48201-2136. The organization recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as the primary health care specialty. Childrens Dental Care Of Detroit can be contacted via phone (313) 262-6059, or through Oueis, Hassan via phone (313) 262-6059.

Contact Information

Primary practice address
430 Mack Ave Detroit MI 48201-2136
Fax: (313) 262-6331
Website:
Authorized official contact:
Name: Oueis, Hassan Doctor of Dental Surgery (DDS)

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Pediatric Dentistry 1223P0221X

Profile Details

NPI number 1104482439
LBN Legal business name Childrens Dental Care Of Detroit
DBA Doing business as Children'S Dental Care Of Detroit
Authorized official Oueis, Hassan Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date May 13th, 2019
Last updated Jan 5th, 2021 - about 4 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 1104482439 NPPES
Michigan MEDICAID 1386813244

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