Redford Dental Group

LBN: Redford Dental Group
Redford Dental Group is an health care organization with primary practice located at 15148 Beech Daly Rd , Redford MI 48239-3202. The organization recently has only one registered license in Dental Providers / Dentist, which is considered as the primary health care specialty. Redford Dental Group can be contacted via phone (313) 533-3300, or through Kazangy, Zeena J. via phone (313) 535-3300.

Contact Information

Primary practice address
15148 Beech Daly Rd Redford MI 48239-3202
Phone: (313) 533-3300
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Kazangy, Zeena J. Doctor of Dental Surgery (DDS)
Phone: (313) 535-3300

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 16348 Michigan

Profile Details

NPI number 1578752937
LBN Legal business name Redford Dental Group
DBA Doing business as
Authorized official Kazangy, Zeena J. Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 22nd, 2007
Last updated Oct 22nd, 2007 - about 17 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 1578752937 NPPES
Michigan MEDICAID 4275600

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