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Contact Information

GOODIS ENDODONTICS PC
20175 MACK AVENUE
GROSSE POINTE WOODS, MI48236
 Phone: 313-886-4040
 Fax: 313-886-4481
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Endodontics

1223E0200X
Indicates primary specialty

NPI Profile & details for GOODIS ENDODONTICS PC

NPI # 1629291711
LBN Legal business name GOODIS ENDODONTICS PC
Authorized official GEORGE GOODIS - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 04/10/2007
Last updated 08/22/2020 - About 6 years ago
Identifiers
MI License # 2901008572
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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