Mark J Lodge

LBN: Mark J Lodge
Mark J Lodge is an health care organization with primary practice located at 134 High St , Grand Blanc MI 48439-1335. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Mark J Lodge can be contacted via phone (810) 694-8073, or through Smith, Sandra via phone (810) 694-8073.

Contact Information

Primary practice address
134 High St Grand Blanc MI 48439-1335
Phone: (810) 694-8073
Fax: (810) 694-1764
Website:
Map and Directions
Authorized official contact:
Name: Smith, Sandra
Phone: (810) 694-8073

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X

Profile Details

NPI number 1790569622
LBN Legal business name Mark J Lodge
DBA Doing business as
Authorized official Smith, Sandra
Entity Organization
Organization subpart 1 No
Enumeration date Aug 22nd, 2023
Last updated Aug 22nd, 2023 - about 3 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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