Shoreline Dental Associates, P.C.

LBN: Shoreline Dental Associates, P.C.
Shoreline Dental Associates, P.C. is an health care organization with primary practice located at 1221 E Sherman Blvd , Muskegon MI 49444-1811. The organization recently has only one registered license in Dental Providers / Dentist, which is considered as the primary health care specialty. Shoreline Dental Associates, P.C. can be contacted via phone (231) 739-5105, or through Keever, Charles Hobart via phone (231) 739-5105.

Contact Information

Primary practice address
1221 E Sherman Blvd Muskegon MI 49444-1811
Fax: (231) 739-7432
Website:
Authorized official contact:
Name: Keever, Charles Hobart Doctor of Dental Surgery (DDS)

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 2901012036 Michigan

Profile Details

NPI number 1144327412
LBN Legal business name Shoreline Dental Associates, P.C.
DBA Doing business as
Authorized official Keever, Charles Hobart Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 20th, 2006
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 1144327412 NPPES
Michigan MEDICAID 2574566

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