Harborside Dental Pllc

LBN: Harborside Dental Pllc
Harborside Dental Pllc is an health care organization with primary practice located at 13300 S West Bay Shore Dr Ste 1 , Traverse City MI 49684-5571. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Harborside Dental Pllc can be contacted via phone (231) 946-0207, or through Krull, Mark David via phone (231) 946-0207.

Contact Information

Primary practice address
13300 S West Bay Shore Dr Ste 1 Traverse City MI 49684-5571
Phone: (231) 946-0207
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Krull, Mark David Doctor of Dental Surgery (DDS)
Phone: (231) 946-0207

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X

Profile Details

NPI number 1114563012
LBN Legal business name Harborside Dental Pllc
DBA Doing business as
Authorized official Krull, Mark David Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 26th, 2019
Last updated Nov 26th, 2019 - about 5 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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