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Contact Information

DAVISON FAMILY DENTISTRY, P.C.
1058 N IRISH RD
DAVISON, MI48423-2209
 Phone: 810-653-4100
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
 

Dentist

122300000X
 

Endodontics

1223E0200X
 

Oral and Maxillofacial Surgery

1223S0112X 19 Oral Surgery (Dentist only)
 

Orthodontics and Dentofacial Orthopedics

1223X0400X
Indicates primary specialty

NPI Profile & details for DAVISON FAMILY DENTISTRY, P.C.

NPI # 1033589734
LBN Legal business name DAVISON FAMILY DENTISTRY, P.C.
Authorized official JOHN WILTZ - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 10/07/2015
Last updated 10/07/2015 - About 11 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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