Seniorcare Mobile Dentistry

LBN: Seniorcare Mobile Dentistry
Seniorcare Mobile Dentistry is an health care organization with primary practice located at 22540 Harper Ave , Saint Clair Shores MI 48080-2941. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Skilled Nursing Facility, which is considered as the primary health care specialty. Seniorcare Mobile Dentistry can be contacted via phone (586) 445-1802, or through Jerger, Thomas William via phone (586) 445-2320.

Contact Information

Primary practice address
22540 Harper Ave Saint Clair Shores MI 48080-2941
Fax:
Website:
Authorized official contact:
Name: Jerger, Thomas William Doctor of Dental Surgery (DDS)

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 2901013471 Michigan

Profile Details

NPI number 1457476053
LBN Legal business name Seniorcare Mobile Dentistry
DBA Doing business as
Authorized official Jerger, Thomas William Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 20th, 2007
Last updated Aug 22nd, 2020 - about 4 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 1457476053 NPPES
Michigan MEDICAID 4068883

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