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:
Map and Directions
Authorized official contact:
Name: Falvo, Jack Doctor of Dental Surgery (DDS)
Phone: (734) 981-5455

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
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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