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Contact Information

LAKE MICHIGAN ENDODONTICS OF GRAND HAVEN PLLC
921 S BEECHTREE ST STE 6A
GRAND HAVEN, MI49417-2385
 Phone: 616-935-7661
 Fax: 616-935-7664
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Endodontics

1223E0200X
Indicates primary specialty

NPI Profile & details for LAKE MICHIGAN ENDODONTICS OF GRAND HAVEN PLLC

NPI Number 1467195958
LBN Legal business name LAKE MICHIGAN ENDODONTICS OF GRAND HAVEN PLLC
Authorized official JEFFREY DZINGLE - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 04/14/2022
Last updated 04/14/2022 - About 4 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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