Modern Family Dental Pc

LBN: Modern Family Dental Pc
Modern Family Dental Pc is an health care organization with primary practice located at 17272 Robbins Rd Ste 104 , Grand Haven MI 49417-2677. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Modern Family Dental Pc can be contacted via phone (616) 820-5744, or through Heise, Renee via phone (231) 865-6945.

Contact Information

Primary practice address
17272 Robbins Rd Ste 104 Grand Haven MI 49417-2677
Phone: (616) 820-5744
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Heise, Renee
Phone: (231) 865-6945

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X

Profile Details

NPI number 1003479833
LBN Legal business name Modern Family Dental Pc
DBA Doing business as
Authorized official Heise, Renee
Entity Organization
Organization subpart 1 No
Enumeration date Apr 17th, 2019
Last updated Apr 17th, 2019 - about 7 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.

Request for update

Popular Providers