Edward Street Dental

LBN: Edward Street Dental
Edward Street Dental is an health care organization with primary practice located at 707 E 12 Mile Rd , Madison Heights MI 48071-2533. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Edward Street Dental can be contacted via phone (248) 548-6110, or through Homer, Kevin M via phone (248) 548-6110.

Contact Information

Primary practice address
707 E 12 Mile Rd Madison Heights MI 48071-2533
Phone: (248) 548-6110
Fax: (248) 548-2718
Website:
Map and Directions
Authorized official contact:
Name: Homer, Kevin M Doctor of Dental Surgery (DDS)
Phone: (248) 548-6110

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 17110 Michigan
Dental Providers / General Practice 1223G0001X 13530 Michigan

Profile Details

NPI number 1700864527
LBN Legal business name Edward Street Dental
DBA Doing business as
Authorized official Homer, Kevin M Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 3rd, 2006
Last updated Aug 22nd, 2020 - about 5 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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