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Contact Information

ACCESS DENTAL-EAST JORDAN, PC
108 S LAKE ST
EAST JORDAN, MI49727-9375
 Phone: 231-536-3307
 Fax: 231-536-3323
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
Indicates primary specialty

NPI Profile & details for ACCESS DENTAL-EAST JORDAN, PC

NPI Number 1780991976
LBN Legal business name ACCESS DENTAL-EAST JORDAN, PC
Authorized official TRACI ECKHARDT - (OFFICE MANAGER)
Entity Organization
Organization subpart 1 No
Enumeration date 09/09/2010
Last updated 09/09/2010 - About 16 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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