Old Mission Dentistry

LBN: Old Mission Peninsula Dentistry Rc
Old Mission Dentistry is an health care organization with primary practice located at 3258 Bowers Harbor Rd , Traverse City MI 49686-9737. The organization recently has only one registered license in Dental Providers / Dentist, which is considered as the primary health care specialty. Old Mission Peninsula Dentistry Rc can be contacted via phone (231) 223-4232, or through Aylworth, Melissa via phone (231) 223-4232.

Contact Information

Primary practice address
3258 Bowers Harbor Rd Traverse City MI 49686-9737
Phone: (231) 223-4232
Fax: (231) 223-9205
Website:
Map and Directions
Authorized official contact:
Name: Aylworth, Melissa
Phone: (231) 223-4232

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 2901019846 Michigan

Profile Details

NPI number 1497117923
LBN Legal business name Old Mission Peninsula Dentistry Rc
DBA Doing business as Old Mission Dentistry
Authorized official Aylworth, Melissa
Entity Organization
Organization subpart 1 No
Enumeration date Mar 23rd, 2016
Last updated Mar 28th, 2016 - about 10 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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