Michiana Oral &Maxillofacial Surgery Llc
LBN: Michiana Oral &Maxillofacial Surgery Llc
Michiana Oral &Maxillofacial Surgery Llc is an health care organization with primary practice located at 707 N Michigan St Suite 300, South Bend IN 46601-1070. The organization recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as the primary health care specialty.
Michiana Oral &Maxillofacial Surgery Llc can be contacted via phone (574) 289-0080, or through Asdell, Bernard J via phone (574) 289-0080.
Contact Information
Primary practice address
707 N Michigan St Suite 300
South Bend IN 46601-1070
Phone: (574) 289-0080
Fax: (574) 287-6320
Website:
Authorized official contact:
Name: Asdell, Bernard J Doctor of Dental Surgery (DDS)
Phone: (574) 289-0080
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | 12008287 | Indiana |
Profile Details
| NPI number | 1093775272 |
|---|---|
| LBN Legal business name | Michiana Oral &Maxillofacial Surgery Llc |
| DBA Doing business as | |
| Authorized official | Asdell, Bernard J Doctor of Dental Surgery (DDS) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Mar 23rd, 2006 |
| Last updated | Apr 18th, 2012 - about 12 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 | 1093775272 | NPPES |
| Indiana | MEDICAID | 100409820A |
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