Modern Periodontics

LBN: Modern Periodontics
Modern Periodontics is an health care organization with primary practice located at 2356 32Nd Street Suite #100, Grand Rapids MI 49508-1510. The organization recently has only one registered license in Dental Providers / Periodontics, which is considered as the primary health care specialty. Modern Periodontics can be contacted via phone (616) 241-5658, or through Moerdyke, Erin Nicole via phone (616) 241-5658.

Contact Information

Primary practice address
2356 32Nd Street Suite #100 Grand Rapids MI 49508-1510
Phone: (616) 241-5658
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Moerdyke, Erin Nicole
Phone: (616) 241-5658

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Periodontics 1223P0300X 16791 Michigan

Profile Details

NPI number 1679855761
LBN Legal business name Modern Periodontics
DBA Doing business as
Authorized official Moerdyke, Erin Nicole
Entity Organization
Organization subpart 1 No
Enumeration date Sep 14th, 2011
Last updated Sep 14th, 2011 - about 15 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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