Tlc Dental Of Walled Lake, Pllc
LBN: Tlc Dental Of Walled Lake, Pllc
Tlc Dental Of Walled Lake, Pllc is an health care organization with primary practice located at 1264 S Commerce Rd , Walled Lake MI 48390-3008. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty.
Tlc Dental Of Walled Lake, Pllc can be contacted via phone (248) 624-4774, or through Heuerman, Kurt via phone (248) 624-4774.
Contact Information
Primary practice address
1264 S Commerce Rd
Walled Lake MI 48390-3008
Phone: (248) 624-4774
Fax: (248) 624-9256
Website:
Authorized official contact:
Name: Heuerman, Kurt Doctor of Dental Surgery (DDS)
Phone: (248) 624-4774
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 18099 | Michigan |
| Dental Providers / General Practice | 1223G0001X | 2901018746 | Michigan |
| Dental Providers / General Practice | 1223G0001X | 17214 | Michigan |
Profile Details
| NPI number | 1104925775 |
|---|---|
| LBN Legal business name | Tlc Dental Of Walled Lake, Pllc |
| DBA Doing business as | |
| Authorized official | Heuerman, Kurt Doctor of Dental Surgery (DDS) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Sep 21st, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1104925775 | NPPES |
| Michigan | Other | 17087 | DDS |
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