Northeast Dental Group

LBN: Northeast Dental Group
Northeast Dental Group is an health care organization with primary practice located at 21500 Northwestern Hwy Suite 640, Southfield MI 48075-5018. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Northeast Dental Group can be contacted via phone (248) 552-0166, or through Grace, Debra via phone (248) 552-0166.

Contact Information

Primary practice address
21500 Northwestern Hwy Suite 640 Southfield MI 48075-5018
Phone: (248) 552-0166
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Grace, Debra
Phone: (248) 552-0166

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X

Profile Details

NPI number 1023195922
LBN Legal business name Northeast Dental Group
DBA Doing business as
Authorized official Grace, Debra
Entity Organization
Organization subpart 1 No
Enumeration date Nov 1st, 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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