Great Lakes Dentistry

LBN: Great Lakes Dentistry Shelby
Great Lakes Dentistry is an health care organization with primary practice located at 53620 Van Dyke Ave Suite 2, Shelby Twp MI 48316-1831. The organization recently has only one registered license in Dental Providers / Dentist, which is considered as the primary health care specialty. Great Lakes Dentistry Shelby can be contacted via phone (586) 677-2828, or through Van De Vyver, Shawn via phone (734) 320-8939.

Contact Information

Primary practice address
53620 Van Dyke Ave Suite 2 Shelby Twp MI 48316-1831
Phone: (586) 677-2828
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Van De Vyver, Shawn
Phone: (734) 320-8939

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 2901019702 Michigan

Profile Details

NPI number 1871865832
LBN Legal business name Great Lakes Dentistry Shelby
DBA Doing business as Great Lakes Dentistry
Authorized official Van De Vyver, Shawn
Entity Organization
Organization subpart 1 No
Enumeration date Feb 6th, 2012
Last updated Jan 25th, 2022 - about 2 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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