Square Lake Family Dentistry

LBN: Square Lake Family Dentistry
Square Lake Family Dentistry is an health care organization with primary practice located at 6053 Rochester Rd , Troy MI 48085-1303. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Square Lake Family Dentistry can be contacted via phone (248) 879-5858, or through Patel, Pritida Tushar via phone (248) 879-5858.

Contact Information

Primary practice address
6053 Rochester Rd Troy MI 48085-1303
Phone: (248) 879-5858
Fax: (248) 879-3578
Website:
Map and Directions
Authorized official contact:
Name: Patel, Pritida Tushar Doctor of Dental Surgery (DDS)
Phone: (248) 879-5858

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 2901015929 Michigan
Dental Providers / General Practice 1223G0001X 2901015961 Michigan

Profile Details

NPI number 1558442202
LBN Legal business name Square Lake Family Dentistry
DBA Doing business as
Authorized official Patel, Pritida Tushar Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 18th, 2006
Last updated Jan 31st, 2008 - 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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