St.George Family Dentistry P.C

LBN: St.George Family Dentistry P.C
St.George Family Dentistry P.C is an health care organization with primary practice located at 10470 W 9 Mile Rd , Oak Park MI 48237-2914. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. St.George Family Dentistry P.C can be contacted via phone (248) 548-2210, or through Hermiz, Alaa K via phone (248) 548-2210.

Contact Information

Primary practice address
10470 W 9 Mile Rd Oak Park MI 48237-2914
Phone: (248) 548-2210
Fax: (248) 548-1769
Website:
Map and Directions
Authorized official contact:
Name: Hermiz, Alaa K Doctor of Dental Medicine (DMD)
Phone: (248) 548-2210

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 2901018305 Illinois

Profile Details

NPI number 1023261617
LBN Legal business name St.George Family Dentistry P.C
DBA Doing business as
Authorized official Hermiz, Alaa K Doctor of Dental Medicine (DMD)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 28th, 2008
Last updated Oct 28th, 2008 - about 16 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 1023261617 NPPES
Michigan MEDICAID 4547942

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