Fourth Street Dental, Pllc

LBN: Fourth Street Dental, Pllc
Fourth Street Dental, Pllc is an health care organization with primary practice located at 2027 4Th St , Jackson MI 49203-4572. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Fourth Street Dental, Pllc can be contacted via phone (517) 787-9630, or through Pound, Nathan Shane via phone (517) 787-9630.

Contact Information

Primary practice address
2027 4Th St Jackson MI 49203-4572
Phone: (517) 787-9630
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Pound, Nathan Shane Doctor of Dental Surgery (DDS)
Phone: (517) 787-9630

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 19773 Michigan

Profile Details

NPI number 1710303599
LBN Legal business name Fourth Street Dental, Pllc
DBA Doing business as
Authorized official Pound, Nathan Shane Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 17th, 2014
Last updated Mar 17th, 2014 - about 11 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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