Elias Dental Lab

LBN: Elias Dental Lab
Elias Dental Lab is an health care organization with primary practice located at 535 Greenwood Ave Se Ste 100 , Grand Rapids MI 49506-2901. The organization recently has only one registered license in Ambulatory Health Care Facilities / Dental, which is considered as the primary health care specialty. Elias Dental Lab can be contacted via phone (616) 458-2048, or through Elias, Richard J via phone (616) 458-2048.

Contact Information

Primary practice address
535 Greenwood Ave Se Ste 100 Grand Rapids MI 49506-2901
Phone: (616) 458-2048
Fax: (616) 458-1311
Website:
Map and Directions
Authorized official contact:
Name: Elias, Richard J Doctor of Dental Surgery (DDS)
Phone: (616) 458-2048

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Dental 261QD0000X

Profile Details

NPI number 1720685399
LBN Legal business name Elias Dental Lab
DBA Doing business as
Authorized official Elias, Richard J Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 6th, 2020
Last updated Oct 6th, 2020 - about 6 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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Identifiers

StateTypeNumberIssuer
All States NPI 1720685399 NPPES
Michigan MEDICAID 1093930125

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