Tooth Town Pediatric Dentistry, Pllc

LBN: Tooth Town Pediatric Dentistry, Pllc
Tooth Town Pediatric Dentistry, Pllc is an health care organization with primary practice located at 26018 Pontiac Trl , South Lyon MI 48178-8050. The organization recently has only one registered license in Ambulatory Health Care Facilities / Dental, which is considered as the primary health care specialty. Tooth Town Pediatric Dentistry, Pllc can be contacted via phone (248) 486-4030, or through Ghezzi, Stephen via phone (248) 486-4030.

Contact Information

Primary practice address
26018 Pontiac Trl South Lyon MI 48178-8050
Fax: (855) 778-2780
Website:
Authorized official contact:
Name: Ghezzi, Stephen Doctor of Dental Surgery (DDS)

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Dental 261QD0000X

Profile Details

NPI number 1295395739
LBN Legal business name Tooth Town Pediatric Dentistry, Pllc
DBA Doing business as
Authorized official Ghezzi, Stephen Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 17th, 2019
Last updated Jun 17th, 2019 - about 6 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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