Pediatric Dental Specialists Of West Michigan

LBN: Pediatric Dental Specialists Of West Michigan
Pediatric Dental Specialists Of West Michigan is an health care organization with primary practice located at 2155 E Paris Ave Se Ste 120 , Grand Rapids MI 49546-6142. The organization recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as the primary health care specialty. Pediatric Dental Specialists Of West Michigan can be contacted via phone (616) 608-8898, or through Swanson, Kathryn L via phone (248) 705-3285.

Contact Information

Primary practice address
2155 E Paris Ave Se Ste 120 Grand Rapids MI 49546-6142
Phone: (616) 608-8898
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Swanson, Kathryn L
Phone: (248) 705-3285

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Pediatric Dentistry 1223P0221X

Profile Details

NPI number 1184194433
LBN Legal business name Pediatric Dental Specialists Of West Michigan
DBA Doing business as
Authorized official Swanson, Kathryn L
Entity Organization
Organization subpart 1 No
Enumeration date Nov 29th, 2018
Last updated Nov 29th, 2018 - about 7 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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