Portable Dental Services

LBN: Portable Dental Services
Portable Dental Services is an health care organization with primary practice located at 15055 22 Mile Rd # 2 , Shelby Twp MI 48315-4401. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Portable Dental Services can be contacted via phone (586) 873-5567, or through Antolak, Robert Vance via phone (586) 873-5567.

Contact Information

Primary practice address
15055 22 Mile Rd # 2 Shelby Twp MI 48315-4401
Phone: (586) 873-5567
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Antolak, Robert Vance
Phone: (586) 873-5567

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X

Profile Details

NPI number 1437483484
LBN Legal business name Portable Dental Services
DBA Doing business as
Authorized official Antolak, Robert Vance
Entity Organization
Organization subpart 1 No
Enumeration date Sep 23rd, 2009
Last updated Sep 23rd, 2009 - 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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