Traverse Dental Associates, Pllc

LBN: Traverse Dental Associates, Pllc
Traverse Dental Associates, Pllc is an health care organization with primary practice located at 555 South Garfield Ave , Traverse City MI 49686-3423. The organization recently has 2 registered licenses in different health care specialties including Dental Providers / General Practice, Suppliers / Durable Medical Equipment & Medical Supplies. Dental Providers / General Practice is the primary health care specialty. Traverse Dental Associates, Pllc can be contacted via phone (231) 947-0210, or through Mazzola, Christopher D via phone (734) 657-1854.

Contact Information

Primary practice address
555 South Garfield Ave Traverse City MI 49686-3423
Phone: (231) 947-0210
Fax: (231) 947-6770
Website:
Map and Directions
Authorized official contact:
Name: Mazzola, Christopher D
Phone: (734) 657-1854

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 12127 Michigan
Dental Providers / General Practice 1223G0001X 12516 Michigan
Dental Providers / General Practice 1223G0001X 13833 Michigan
Dental Providers / General Practice 1223G0001X 2901019122 Michigan
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X

Profile Details

NPI number 1336171800
LBN Legal business name Traverse Dental Associates, Pllc
DBA Doing business as
Authorized official Mazzola, Christopher D
Entity Organization
Organization subpart 1 No
Enumeration date Jul 7th, 2006
Last updated Mar 23rd, 2022 - about 2 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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