Shadows O.Bedell Dds.P.C.

LBN: Shadows O.Bedell Dds.P.C.
Shadows O.Bedell Dds.P.C. is an health care organization with primary practice located at 19600 Van Dyke St , Detroit MI 48234-3325. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Shadows O.Bedell Dds.P.C. can be contacted via phone (313) 892-9148, or through Bedell, Shadows O via phone (313) 892-9148.

Contact Information

Primary practice address
19600 Van Dyke St Detroit MI 48234-3325
Phone: (313) 892-9148
Fax: (313) 892-0204
Website:
Map and Directions
Authorized official contact:
Name: Bedell, Shadows O D.D.S.P.C.
Phone: (313) 892-9148

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 12360 Michigan

Profile Details

NPI number 1427247758
LBN Legal business name Shadows O.Bedell Dds.P.C.
DBA Doing business as
Authorized official Bedell, Shadows O D.D.S.P.C.
Entity Organization
Organization subpart 1 No
Enumeration date Oct 23rd, 2007
Last updated Nov 2nd, 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 1427247758 NPPES
Michigan MEDICAID 1720148018
Michigan MEDICAID 1801967757
Michigan MEDICAID 1083663702

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