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Contact Information

GREAT NORTHERN DENTAL ASSOC PC
1100 1ST AVE NORTH
ESCANABA, MI49829
 Phone: 906-786-3814
 Fax: 906-786-3881
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dentist

122300000X
Indicates primary specialty

NPI Profile & details for GREAT NORTHERN DENTAL ASSOC PC

NPI # 1013011139
LBN Legal business name GREAT NORTHERN DENTAL ASSOC PC
Authorized official GARY BRADLEY - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 09/11/2006
Last updated 08/22/2020 - About 6 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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