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Contact Information

ACCESS DENTAL GROUP PLLC
431 MUNSON AVE STE C
TRAVERSE CITY, MI49686-3060
 Phone: 231-935-8461
 Fax: 231-935-8467
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
Indicates primary specialty

NPI Profile & details for ACCESS DENTAL GROUP PLLC

NPI Number 1093819344
LBN Legal business name ACCESS DENTAL GROUP PLLC
Authorized official AMANDA HAGIE - (OFFICE MANAGER)
Entity Organization
Organization subpart 1 No
Enumeration date 09/08/2006
Last updated 12/29/2022 - About 3 years ago
Identifiers
MI License # 012813
MI License # 012865
MI License # 014902
MI Other D802395 BCBS OF MI
MI Other D80295 BCBS OF MS
PA Other 823434 UNITED CONCORDIA
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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