Houghton Lake Dental Associates

LBN: Houghton Lake Dental Group, Pc
Houghton Lake Dental Associates is an health care organization with primary practice located at 3185 W Houghton Lake Dr , Houghton Lake MI 48629-8242. The organization recently has 2 registered licenses in different health care specialties including Dental Providers / General Practice, Dental Providers / Periodontics. Dental Providers / General Practice is the primary health care specialty. Houghton Lake Dental Group, Pc can be contacted via phone (989) 366-9621, or through Hood, Joseph via phone (989) 366-9621.

Contact Information

Primary practice address
3185 W Houghton Lake Dr Houghton Lake MI 48629-8242
Phone: (989) 366-9621
Fax: (989) 366-8237
Website:
Map and Directions
Authorized official contact:
Name: Hood, Joseph
Phone: (989) 366-9621

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 17997 Michigan
Dental Providers / General Practice 1223G0001X 17895 Michigan
Dental Providers / Periodontics 1223P0300X 8779 Michigan

Profile Details

NPI number 1134220593
LBN Legal business name Houghton Lake Dental Group, Pc
DBA Doing business as Houghton Lake Dental Associates
Authorized official Hood, Joseph
Entity Organization
Organization subpart 1 No
Enumeration date Sep 26th, 2006
Last updated Aug 22nd, 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 1134220593 NPPES
Michigan MEDICAID 4393541
Michigan MEDICAID 4393523

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