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Contact Information

PLYMOUTH ENDODONTICS
9416 S MAIN ST STE 212
PLYMOUTH, MI48170-4148
 Phone: 734-459-8844
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Endodontics

1223E0200X
Indicates primary specialty

NPI Profile & details for PLYMOUTH ENDODONTICS

NPI # 1285252874
LBN Legal business name PLYMOUTH ENDODONTICS
Authorized official STEVE VLAHAKIS - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 07/09/2020
Last updated 07/09/2020 - About 6 years ago
Identifiers
MI Medicaid 1356469787
MI Medicaid 160911863
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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