Kelly Plaza Dental Ct. Pc

LBN: Kelly Plaza Dental Ct. Pc
Kelly Plaza Dental Ct. Pc is an health care organization with primary practice located at 12434 Kelly Rd. , Detroit MI 48224. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Kelly Plaza Dental Ct. Pc can be contacted via phone (313) 839-8200, or through Purifoy, Wilbert via phone (313) 839-8200.

Contact Information

Primary practice address
12434 Kelly Rd. Detroit MI 48224
Phone: (313) 839-8200
Fax: (313) 839-2772
Website:
Map and Directions
Authorized official contact:
Name: Purifoy, Wilbert Doctor of Dental Surgery (DDS)
Phone: (313) 839-8200

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 1593854 Michigan

Profile Details

NPI number 1770507451
LBN Legal business name Kelly Plaza Dental Ct. Pc
DBA Doing business as
Authorized official Purifoy, Wilbert Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 27th, 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.

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