Meadowbrook Family Dentists Pc

LBN: Meadowbrook Family Dentists Pc
Meadowbrook Family Dentists Pc is an health care organization with primary practice located at 5127 Rochester Rd , Troy MI 48085. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Meadowbrook Family Dentists Pc can be contacted via phone (248) 528-1611, or through Clague, Gary J via phone (248) 528-1611.

Contact Information

Primary practice address
5127 Rochester Rd Troy MI 48085
Fax: (248) 528-0245
Website:
Authorized official contact:
Name: Clague, Gary J Doctor of Dental Surgery (DDS)

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X

Profile Details

NPI number 1487723870
LBN Legal business name Meadowbrook Family Dentists Pc
DBA Doing business as
Authorized official Clague, Gary J Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 7th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1487723870 NPPES
Michigan Other D800187 BCBS MI

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