Provident Dentistry

LBN: Provident Dentistry
Provident Dentistry is an health care organization with primary practice located at 40105 Grand River Ave Suite 1, Novi MI 48375-2170. The organization recently has only one registered license in Dental Providers / Dentist, which is considered as the primary health care specialty. Provident Dentistry can be contacted via phone (248) 471-0345, or through Kessler, Alan Jeffrey via phone (248) 471-0345.

Contact Information

Primary practice address
40105 Grand River Ave Suite 1 Novi MI 48375-2170
Phone: (248) 471-0345
Fax: (248) 471-0671
Website:
Map and Directions
Authorized official contact:
Name: Kessler, Alan Jeffrey Doctor of Dental Surgery (DDS)
Phone: (248) 471-0345

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X

Profile Details

NPI number 1407887656
LBN Legal business name Provident Dentistry
DBA Doing business as
Authorized official Kessler, Alan Jeffrey Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 5th, 2006
Last updated Jul 23rd, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1407887656 NPPES
Michigan MEDICAID 12 2753487

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