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
Phone: (586) 264-3200
Fax: (586) 264-3241
Website:
Authorized official contact:
Name: Regalado, Eduardo G Doctor of Dental Surgery (DDS)
Phone: (586) 264-3200
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1063690683 | NPPES |
Michigan | MEDICAID | 1882470 | |
Michigan | Other | 4731390 | |
Michigan | Other | 4970960 |
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