Modern American Dental Clinic Pc

LBN: Modern American Dental Clinic Pc
Modern American Dental Clinic Pc is an health care organization with primary practice located at 14350 W Warren , Dearborn MI 48126. The organization recently has only one registered license in Dental Providers / Dentist, which is considered as the primary health care specialty. Modern American Dental Clinic Pc can be contacted via phone (313) 582-1919, or through Berry, Nabil via phone (313) 582-1919.

Contact Information

Primary practice address
14350 W Warren Dearborn MI 48126
Phone: (313) 582-1919
Fax: (313) 582-0300
Website:
Map and Directions
Authorized official contact:
Name: Berry, Nabil DENTIST DDS
Phone: (313) 582-1919

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X

Profile Details

NPI number 1164510129
LBN Legal business name Modern American Dental Clinic Pc
DBA Doing business as
Authorized official Berry, Nabil DENTIST DDS
Entity Organization
Organization subpart 1 No
Enumeration date Oct 11th, 2006
Last updated Jan 29th, 2016 - about 9 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 1164510129 NPPES
Michigan MEDICAID 4773148
Michigan Other D15159MI

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