Redwood Dental Group

LBN: Redwood Dental Group
Redwood Dental Group is an health care organization with primary practice located at 6511 N Canton Center Rd , Canton MI 48187-1653. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Redwood Dental Group can be contacted via phone (248) 577-5188, or through Bouchillon, Mark A via phone 15869792800.

Contact Information

Primary practice address
6511 N Canton Center Rd Canton MI 48187-1653
Phone: (248) 577-5188
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Bouchillon, Mark A Doctor of Dental Surgery (DDS)
Phone: 15869792800

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X Michigan

Profile Details

NPI number 1164893392
LBN Legal business name Redwood Dental Group
DBA Doing business as
Authorized official Bouchillon, Mark A Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 14th, 2015
Last updated Oct 14th, 2015 - about 9 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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