Park View Family Dentistry

LBN: Park View Family Dentistry
Park View Family Dentistry is an health care organization with primary practice located at 202 N Lake St , Boyne City MI 49712-1210. The organization recently has only one registered license in Dental Providers / Dentist, which is considered as the primary health care specialty. Park View Family Dentistry can be contacted via phone (231) 582-4480, or through Larson, Jennifer Sue via phone (231) 350-6747.

Contact Information

Primary practice address
202 N Lake St Boyne City MI 49712-1210
Phone: (231) 582-4480
Fax: (231) 582-4460
Website:
Map and Directions
Authorized official contact:
Name: Larson, Jennifer Sue Doctor of Dental Surgery (DDS)
Phone: (231) 350-6747

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 22901019425 Michigan

Profile Details

NPI number 1104256387
LBN Legal business name Park View Family Dentistry
DBA Doing business as
Authorized official Larson, Jennifer Sue Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 25th, 2013
Last updated Nov 25th, 2013 - about 13 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 1104256387 NPPES
Michigan Other 2901019425 STATE DENTAL LICENSE

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