Periodontal Specialties

LBN: Periodontal Specialties
Periodontal Specialties is an health care organization with primary practice located at 8130 Constitution Blvd , Sterling Heights MI 48313-3801. The organization recently has only one registered license in Dental Providers / Periodontics, which is considered as the primary health care specialty. Periodontal Specialties can be contacted via phone (586) 268-5520, or through Johnston, Jeffery via phone (586) 268-5520.

Contact Information

Primary practice address
8130 Constitution Blvd Sterling Heights MI 48313-3801
Phone: (586) 268-5520
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Johnston, Jeffery
Phone: (586) 268-5520

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Periodontics 1223P0300X 13303 Michigan

Profile Details

NPI number 1346428026
LBN Legal business name Periodontal Specialties
DBA Doing business as
Authorized official Johnston, Jeffery
Entity Organization
Organization subpart 1 No
Enumeration date Feb 5th, 2008
Last updated Feb 5th, 2008 - about 16 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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