Family Dental Center Pc

LBN: Family Dental Center Pc
Family Dental Center Pc is an health care organization with primary practice located at 3912 18 Mile Road , Sterling Heights MI 48314. The organization recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / General Practice. Dental Providers / General Practice is the primary health care specialty. Family Dental Center Pc can be contacted via phone (586) 264-3200, or through Regalado, Eduardo G via phone (586) 264-3200.

Contact Information

Primary practice address
3912 18 Mile Road Sterling Heights MI 48314
Fax: (586) 264-3241
Website:
Authorized official contact:
Name: Regalado, Eduardo G Doctor of Dental Surgery (DDS)

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 018718 Michigan
Dental Providers / General Practice 1223G0001X 107660 Michigan
Dental Providers / General Practice 1223G0001X 016079 Michigan

Profile Details

NPI number 1063690683
LBN Legal business name Family Dental Center Pc
DBA Doing business as
Authorized official Regalado, Eduardo G Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 6th, 2008
Last updated Feb 6th, 2008 - about 16 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 1063690683 NPPES
Michigan MEDICAID 1882470
Michigan Other 4731390
Michigan Other 4970960

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