Four Seasons Dental Associates Pllc

LBN: Four Seasons Dental Associates Pllc
Four Seasons Dental Associates Pllc is an health care organization with primary practice located at 301 Main St , Lake City MI 49651-0589. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Four Seasons Dental Associates Pllc can be contacted via phone (231) 839-4673, or through Bushon, Dennis E via phone (231) 839-4673.

Contact Information

Primary practice address
301 Main St Lake City MI 49651-0589
Phone: (231) 839-4673
Fax: (231) 839-7874
Website:
Map and Directions
Authorized official contact:
Name: Bushon, Dennis E Doctor of Dental Surgery (DDS)
Phone: (231) 839-4673

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X

Profile Details

NPI number 1821165499
LBN Legal business name Four Seasons Dental Associates Pllc
DBA Doing business as
Authorized official Bushon, Dennis E Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 29th, 2006
Last updated Aug 22nd, 2020 - about 4 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 1821165499 NPPES
Other 8011320 BCBS OF MICHIGAN

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