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Contact Information

PROFESSIONAL ENDODONTICS
29201 TELEGRAPH RD
SUITE 110
SOUTHFIELD, MI48034-1331
 Phone: 248-358-2910
 Fax: 248-358-2479
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Endodontics

1223E0200X
Indicates primary specialty

NPI Profile & details for PROFESSIONAL ENDODONTICS

NPI # 1679797609
LBN Legal business name PROFESSIONAL ENDODONTICS
Authorized official DOMINICK SHOHA - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 04/12/2007
Last updated 08/22/2020 - About 6 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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