East Lake Dental Pllc

LBN: East Lake Dental Pllc
East Lake Dental Pllc is an health care organization with primary practice located at 201 S Lafayette St , South Lyon MI 48178-1405. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. East Lake Dental Pllc can be contacted via phone (248) 437-4119, or through Jenkins, William Ryan via phone (248) 321-9485.

Contact Information

Primary practice address
201 S Lafayette St South Lyon MI 48178-1405
Phone: (248) 437-4119
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Jenkins, William Ryan Doctor of Dental Surgery (DDS)
Phone: (248) 321-9485

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X

Profile Details

NPI number 1104401645
LBN Legal business name East Lake Dental Pllc
DBA Doing business as
Authorized official Jenkins, William Ryan Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 16th, 2021
Last updated Mar 16th, 2021 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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