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Contact Information

CHARLEVOIX FAMILY DENTISTRY PLC
205 FERRY AVE
CHARLEVOIX, MI49720
 Phone: 231-547-1100
 Fax: 231-237-0170
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
Indicates primary specialty

NPI Profile & details for CHARLEVOIX FAMILY DENTISTRY PLC

NPI # 1417066077
LBN Legal business name CHARLEVOIX FAMILY DENTISTRY PLC
Authorized official GLENN PARAMO - (OWNER DENTIST)
Entity Organization
Organization subpart 1 No
Enumeration date 08/29/2006
Last updated 08/22/2020 - About 6 years ago
Identifiers
MI License # 2901015752
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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