Holland Family Dentistry

LBN: Holland Family Dentistry
Holland Family Dentistry is an health care organization with primary practice located at 545 Michigan Ave , Holland MI 49423-4749. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Holland Family Dentistry can be contacted via phone (616) 396-1058, or through Morin, Kalisha Leone via phone (616) 396-1058.

Contact Information

Primary practice address
545 Michigan Ave Holland MI 49423-4749
Phone: (616) 396-1058
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Morin, Kalisha Leone Doctor of Dental Surgery (DDS)
Phone: (616) 396-1058

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 290101169 Michigan

Profile Details

NPI number 1043609738
LBN Legal business name Holland Family Dentistry
DBA Doing business as
Authorized official Morin, Kalisha Leone Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 18th, 2015
Last updated Jan 18th, 2015 - about 10 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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Identifiers

StateTypeNumberIssuer
All States NPI 1043609738 NPPES
Michigan Other 1891743456 NPI INDIVIDUAL
Michigan MEDICAID 124064660 NPI INDIVIDUAL

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