Fuller Avenue Dental Associates
LBN: Fuller Avenue Dental Associates
Fuller Avenue Dental Associates is an health care organization with primary practice located at 2755 Fuller Ave Ne , Grand Rapids MI 49505-3780. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty.
Fuller Avenue Dental Associates can be contacted via phone (616) 363-1136, or through Visscher-Worst, Shannon Marie via phone (616) 363-1136.
Contact Information
Primary practice address
2755 Fuller Ave Ne
Grand Rapids MI 49505-3780
Phone: (616) 363-1136
Fax: (616) 363-4345
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Dental Providers / General Practice | 1223G0001X | 16615 | Michigan |
Dental Providers / General Practice | 1223G0001X | 10428 | Michigan |
Profile Details
NPI number | 1639397615 |
---|---|
LBN Legal business name | Fuller Avenue Dental Associates |
DBA Doing business as | |
Authorized official | Visscher-Worst, Shannon Marie |
Entity | Organization |
Organization subpart 1 | No |
Enumeration date | Apr 23rd, 2007 |
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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