David Grachek, Jr.,Dds

LBN: David Grachek, Jr.,Dds
David Grachek, Jr.,Dds is an health care organization with primary practice located at 13745 Northline Rd , Southgate MI 48195-1866. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. David Grachek, Jr.,Dds can be contacted via phone (734) 284-9873, or through Arias, Odilia via phone (734) 284-9873.

Contact Information

Primary practice address
13745 Northline Rd Southgate MI 48195-1866
Phone: (734) 284-9873
Fax: (734) 284-4161
Website:
Map and Directions
Authorized official contact:
Name: Arias, Odilia
Phone: (734) 284-9873

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X

Profile Details

NPI number 1891325239
LBN Legal business name David Grachek, Jr.,Dds
DBA Doing business as
Authorized official Arias, Odilia
Entity Organization
Organization subpart 1 No
Enumeration date Jan 24th, 2020
Last updated Jan 24th, 2020 - 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 1891325239 NPPES
Michigan MEDICAID 1265591531

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