Park Dental Service, P.C.

LBN: Park Dental Service, P.C.
Park Dental Service, P.C. is an health care organization with primary practice located at 18935 Grand River Ave , Detroit MI 48223-2273. The organization recently has only one registered license in Ambulatory Health Care Facilities / Dental, which is considered as the primary health care specialty. Park Dental Service, P.C. can be contacted via phone (313) 835-8280, or through Smith, Eric via phone (313) 835-8280.

Contact Information

Primary practice address
18935 Grand River Ave Detroit MI 48223-2273
Phone: (313) 835-8280
Fax: (313) 835-2879
Website:
Map and Directions
Authorized official contact:
Name: Smith, Eric Doctor of Dental Surgery (DDS)
Phone: (313) 835-8280

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Dental 261QD0000X 13515 Michigan

Profile Details

NPI number 1225584758
LBN Legal business name Park Dental Service, P.C.
DBA Doing business as
Authorized official Smith, Eric Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 25th, 2016
Last updated Aug 25th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1225584758 NPPES
Michigan MEDICAID 1929970

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