Eastside Implants And Periodontics

LBN: Eastside Implants And Periodontics
Eastside Implants And Periodontics is an health care organization with primary practice located at 25523 Van Dyke Avenue , Center Line MI 48015. The organization recently has only one registered license in Dental Providers / Periodontics, which is considered as the primary health care specialty. Eastside Implants And Periodontics can be contacted via phone (586) 757-5454, or through Misch, Kelly via phone (734) 975-1743.

Contact Information

Primary practice address
25523 Van Dyke Avenue Center Line MI 48015
Phone: (586) 757-5454
Fax: (586) 757-4147
Website:
Map and Directions
Authorized official contact:
Name: Misch, Kelly D.D.S., M.S.
Phone: (734) 975-1743

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Periodontics 1223P0300X

Profile Details

NPI number 1932946464
LBN Legal business name Eastside Implants And Periodontics
DBA Doing business as
Authorized official Misch, Kelly D.D.S., M.S.
Entity Organization
Organization subpart 1 No
Enumeration date Jul 11th, 2024
Last updated Jul 11th, 2024 - about 2 months 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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