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Contact Information

SIGNATURE ENDODONTICS
24911 LITTLE MACK AVE
SUITE B
SAINT CLAIR SHORES, MI48080-3200
 Phone: 586-863-1336
 Fax: 586-863-1499
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Endodontics

1223E0200X
Indicates primary specialty

NPI Profile & details for SIGNATURE ENDODONTICS

NPI Number 1649678483
LBN Legal business name SIGNATURE ENDODONTICS
Authorized official KIMBERLY MELEGARI - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 12/10/2014
Last updated 12/10/2014 - About 11 years ago
Identifiers
MI License # 5315020321
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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