Eastside Dental Specialists Pllc

LBN: Eastside Dental Specialists Pllc
Eastside Dental Specialists Pllc is an health care organization with primary practice located at 24901 Kelly Rd , Eastpointe MI 48021-1367. The organization recently has 9 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / Endodontics, Dental Providers / General Practice, Dental Providers / Pediatric Dentistry, Dental Providers / Periodontics, Dental Providers / Prosthodontics, Dental Providers / Oral and Maxillofacial Surgery, Dental Providers / Orthodontics and Dentofacial Orthopedics, Dental Providers / Dental Hygienist. Dental Providers / Dentist is the primary health care specialty. Eastside Dental Specialists Pllc can be contacted via phone (586) 772-2090, or through Shore, Robert Leonard via phone (586) 772-2090.

Contact Information

Primary practice address
24901 Kelly Rd Eastpointe MI 48021-1367
Phone: (586) 772-2090
Fax: (586) 772-0742
Website:
Map and Directions
Authorized official contact:
Name: Shore, Robert Leonard Doctor of Dental Surgery (DDS)
Phone: (586) 772-2090

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X
Dental Providers / Endodontics 1223E0200X
Dental Providers / General Practice 1223G0001X
Dental Providers / Pediatric Dentistry 1223P0221X
Dental Providers / Periodontics 1223P0300X
Dental Providers / Prosthodontics 1223P0700X
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X
Dental Providers / Orthodontics and Dentofacial Orthopedics 1223X0400X
Dental Providers / Dental Hygienist 124Q00000X

Profile Details

NPI number 1740324052
LBN Legal business name Eastside Dental Specialists Pllc
DBA Doing business as
Authorized official Shore, Robert Leonard Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 19th, 2007
Last updated Aug 22nd, 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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