Gratiot Dental Pc

LBN: Gratiot Dental Pc
Gratiot Dental Pc is an health care organization with primary practice located at 12645 Gratiot Ave , Detroit MI 48205-3952. The organization recently has only one registered license in Dental Providers / Dentist, which is considered as the primary health care specialty. Gratiot Dental Pc can be contacted via phone (313) 527-1140, or through Walker, Wallace Lee via phone (313) 527-1140.

Contact Information

Primary practice address
12645 Gratiot Ave Detroit MI 48205-3952
Phone: (313) 527-1140
Fax: (313) 527-9022
Website:
Map and Directions
Authorized official contact:
Name: Walker, Wallace Lee Doctor of Dental Surgery (DDS)
Phone: (313) 527-1140

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 12881 Michigan

Profile Details

NPI number 1073702478
LBN Legal business name Gratiot Dental Pc
DBA Doing business as
Authorized official Walker, Wallace Lee Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 22nd, 2007
Last updated Oct 22nd, 2007 - about 18 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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