Michiana Family Dental Llc

LBN: Michiana Family Dental Llc
Michiana Family Dental Llc is an health care organization with primary practice located at 3575 Portage Ave , South Bend IN 46628-6092. The organization recently has only one registered license in Dental Providers / Dentist, which is considered as the primary health care specialty. Michiana Family Dental Llc can be contacted via phone (203) 215-4687, or through Durshanapalli, Srinivas R via phone (203) 215-4687.

Contact Information

Primary practice address
3575 Portage Ave South Bend IN 46628-6092
Phone: (203) 215-4687
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Durshanapalli, Srinivas R Doctor of Dental Surgery (DDS)
Phone: (203) 215-4687

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X

Profile Details

NPI number 1467946467
LBN Legal business name Michiana Family Dental Llc
DBA Doing business as
Authorized official Durshanapalli, Srinivas R Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 22nd, 2018
Last updated Sep 17th, 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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