Eastside Family Dentistry

LBN: Eastside Family Dentistry
Eastside Family Dentistry is an health care organization with primary practice located at 48926 Schoenherr Rd. , Shelby Township MI 48315. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Eastside Family Dentistry can be contacted via phone (586) 566-5660, or through Keyorkgy, Fadi George via phone (586) 566-5660.

Contact Information

Primary practice address
48926 Schoenherr Rd. Shelby Township MI 48315
Phone: (586) 566-5660
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Keyorkgy, Fadi George D.D.S., M.S.D.
Phone: (586) 566-5660

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 2901016598 Michigan

Profile Details

NPI number 1649595232
LBN Legal business name Eastside Family Dentistry
DBA Doing business as
Authorized official Keyorkgy, Fadi George D.D.S., M.S.D.
Entity Organization
Organization subpart 1 No
Enumeration date Apr 7th, 2010
Last updated Apr 7th, 2010 - about 14 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 1649595232 NPPES
Michigan MEDICAID 3369505

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