Fountain View Family Dental

LBN: Fountain View Family Dental
Fountain View Family Dental is an health care organization with primary practice located at 925 East Pontaluna Road Suite A, Muskegon MI 49444. The organization recently has only one registered license in Ambulatory Health Care Facilities / Dental, which is considered as the primary health care specialty. Fountain View Family Dental can be contacted via phone (231) 799-1110, or through Gaston, William Robert via phone (231) 799-1110.

Contact Information

Primary practice address
925 East Pontaluna Road Suite A Muskegon MI 49444
Phone: (231) 799-1110
Fax: (231) 799-1109
Website:
Map and Directions
Authorized official contact:
Name: Gaston, William Robert Doctor of Dental Surgery (DDS)
Phone: (231) 799-1110

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Dental 261QD0000X

Profile Details

NPI number 1871231399
LBN Legal business name Fountain View Family Dental
DBA Doing business as
Authorized official Gaston, William Robert Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date May 24th, 2022
Last updated May 24th, 2022 - about 4 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 1871231399 NPPES
Michigan Other 015602 STATE LICENSE NUMBER

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