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Contact Information

ADVANCED DENTAL GROUPSERVICES, PLLC
20750 W OLD US HIGHWAY 12
CHELSEA, MI48118-1378
 Phone: 734-475-8911
 Fax: 734-385-8040
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
Indicates primary specialty

NPI Profile & details for ADVANCED DENTAL GROUPSERVICES, PLLC

NPI Number 1881915486
LBN Legal business name ADVANCED DENTAL GROUPSERVICES, PLLC
Authorized official STEVEN RODRIGUEZ - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 06/17/2010
Last updated 02/18/2025 - More than a year ago
Identifiers
MI License # 2901018826
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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