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Contact Information

SHORELINE ENDODONTICS, P.C.
1087 BUSINESS PARK DR
TRAVERSE CITY, MI49686-8372
 Phone: 231-947-6000
 Fax: 231-947-6593
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Endodontics

1223E0200X
Indicates primary specialty

NPI Profile & details for SHORELINE ENDODONTICS, P.C.

NPI Number 1811583164
LBN Legal business name SHORELINE ENDODONTICS, P.C.
Authorized official CHRISTOPHER ALLEN - (PRACTICE OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 12/21/2020
Last updated 12/21/2020 - About 5 years ago
Identifiers
MI Other 1215190970 NPI TYPE 1 DR. ALLEN
MI Other 1972094639 NPI TYPE 1 DR. BARRORD
MI Other 1386743219 NPI TYPE 1 DR. HAAG
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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