Willow Creek Dental Clinic, Pc
LBN: Willow Creek Dental Clinic, Pc
Willow Creek Dental Clinic, Pc is an health care organization with primary practice located at 5970 N Lilley Rd , Canton MI 48187-3625. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty.
Willow Creek Dental Clinic, Pc can be contacted via phone (734) 981-5455, or through Falvo, Jack via phone (734) 981-5455.
Contact Information
Primary practice address
5970 N Lilley Rd
Canton MI 48187-3625
Phone: (734) 981-5455
Fax: (734) 981-0370
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Dental Providers / General Practice | 1223G0001X | 11038 | Michigan |
Profile Details
NPI number | 1588675607 |
---|---|
LBN Legal business name | Willow Creek Dental Clinic, Pc |
DBA Doing business as | |
Authorized official | Falvo, Jack Doctor of Dental Surgery (DDS) |
Entity | Organization |
Organization subpart 1 | No |
Enumeration date | Aug 11th, 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 | 1588675607 | NPPES |
Michigan | Other | D8014557 | BLUE CROSS BLUE SHIELD |
Michigan | MEDICAID | 4045655 | BLUE CROSS BLUE SHIELD |
Michigan | MEDICAID | 4784419 | BLUE CROSS BLUE SHIELD |
Michigan | Other | 972811 | BLUE CROSS BLUE SHIELD |
Michigan | MEDICAID | 4648480 | BLUE CROSS BLUE SHIELD |
Michigan | MEDICAID | 4044756 | BLUE CROSS BLUE SHIELD |
Michigan | MEDICAID | 4876118 | BLUE CROSS BLUE SHIELD |
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