Michigan Dentists Pllc

LBN: Michigan Dentists Pllc
Michigan Dentists Pllc is an health care organization with primary practice located at 2641 Shirley Dr , Jackson MI 49201-8633. The organization recently has 2 registered licenses in different health care specialties including Dental Providers / General Practice, Managed Care Organizations / Point of Service. Dental Providers / General Practice is the primary health care specialty. Michigan Dentists Pllc can be contacted via phone (517) 787-5367, or through Notten, Cheryl via phone (517) 787-5367.

Contact Information

Primary practice address
2641 Shirley Dr Jackson MI 49201-8633
Phone: (517) 787-5367
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Notten, Cheryl
Phone: (517) 787-5367

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X
Managed Care Organizations / Point of Service 305S00000X

Profile Details

NPI number 1376152504
LBN Legal business name Michigan Dentists Pllc
DBA Doing business as
Authorized official Notten, Cheryl
Entity Organization
Organization subpart 1 No
Enumeration date Jul 23rd, 2020
Last updated Jan 25th, 2021 - 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 1376152504 NPPES
Michigan Other 1295090611 EDWIN KWON
Michigan Other 1518251230 EDWIN KWON
Michigan Other 1952617284 EDWIN KWON

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