Houghton Lake Dental Associates
LBN: Houghton Lake Dental Group, Pc
Houghton Lake Dental Associates is an health care organization with primary practice located at 3185 W Houghton Lake Dr , Houghton Lake MI 48629-8242. The organization recently has 2 registered licenses in different health care specialties including Dental Providers / General Practice, Dental Providers / Periodontics. Dental Providers / General Practice is the primary health care specialty.
Houghton Lake Dental Group, Pc can be contacted via phone (989) 366-9621, or through Hood, Joseph via phone (989) 366-9621.
Contact Information
Primary practice address
3185 W Houghton Lake Dr
Houghton Lake MI 48629-8242
Phone: (989) 366-9621
Fax: (989) 366-8237
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 17997 | Michigan |
| Dental Providers / General Practice | 1223G0001X | 17895 | Michigan |
| Dental Providers / Periodontics | 1223P0300X | 8779 | Michigan |
Profile Details
| NPI number | 1134220593 |
|---|---|
| LBN Legal business name | Houghton Lake Dental Group, Pc |
| DBA Doing business as | Houghton Lake Dental Associates |
| Authorized official | Hood, Joseph |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Sep 26th, 2006 |
| 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1134220593 | NPPES |
| Michigan | MEDICAID | 4393541 | |
| Michigan | MEDICAID | 4393523 |
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