Kingma Pediatric Dentistry Pllc

LBN: Kingma Pediatric Dentistry Pllc
Kingma Pediatric Dentistry Pllc is an health care organization with primary practice located at 1179 E Paris Ave Se Ste 130 , Grand Rapids MI 49546-3682. The organization recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as the primary health care specialty. Kingma Pediatric Dentistry Pllc can be contacted via phone (616) 942-9840, or through Merren, Amanda via phone (616) 551-9701.

Contact Information

Primary practice address
1179 E Paris Ave Se Ste 130 Grand Rapids MI 49546-3682
Phone: (616) 942-9840
Fax: (616) 942-0170
Website:
Map and Directions
Authorized official contact:
Name: Merren, Amanda
Phone: (616) 551-9701

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Pediatric Dentistry 1223P0221X

Profile Details

NPI number 1811465990
LBN Legal business name Kingma Pediatric Dentistry Pllc
DBA Doing business as
Authorized official Merren, Amanda
Entity Organization
Organization subpart 1 No
Enumeration date Nov 7th, 2018
Last updated Nov 7th, 2018 - about 7 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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