Pediatric Dentistry

LBN: Pediatric Dentistry
Pediatric Dentistry is an health care organization with primary practice located at 45535 Hanford Rd , Canton MI 48187-4595. The organization recently has 2 registered licenses in different health care specialties including Dental Providers / General Practice, Dental Providers / Pediatric Dentistry. Dental Providers / Pediatric Dentistry is the primary health care specialty. Pediatric Dentistry can be contacted via phone (734) 254-0786, or through Khan, Farah via phone (736) 254-0786.

Contact Information

Primary practice address
45535 Hanford Rd Canton MI 48187-4595
Phone: (734) 254-0786
Fax: (734) 254-0861
Website:
Map and Directions
Authorized official contact:
Name: Khan, Farah DDS,PC
Phone: (736) 254-0786

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X
Dental Providers / Pediatric Dentistry 1223P0221X

Profile Details

NPI number 1518527191
LBN Legal business name Pediatric Dentistry
DBA Doing business as
Authorized official Khan, Farah DDS,PC
Entity Organization
Organization subpart 1 No
Enumeration date Jun 17th, 2019
Last updated Jun 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1518527191 NPPES
Michigan Other 1548369291 NATIONAL PROVIDER ID

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