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Contact Information

ENDODONTICS PC
22731 NEWMAN ST STE 125
DEARBORN, MI48124
 Phone: 313-565-9118
 Fax: 313-565-2672
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Endodontics

1223E0200X
Indicates primary specialty

NPI Profile & details for ENDODONTICS PC

NPI # 1538126263
LBN Legal business name ENDODONTICS PC
Authorized official MARIA SHANK - (BOOK KEEPER)
Entity Organization
Organization subpart 1 No
Enumeration date 04/27/2006
Last updated 08/07/2020 - About 6 years ago
Identifiers
MI License # 10546
MI License # 13637
MI License # 14484
MI License # 16152
MI License # 17362
MI License # 18227
MI License # 8357
MI License # 9366
MI License # 9563
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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