Prime Dental Pllc

LBN: Prime Dental Pllc
Prime Dental Pllc is an health care organization with primary practice located at 32905 W 12 Mile Rd Ste 140 , Farmington Hills MI 48334-3343. The organization recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Ambulatory Health Care Facilities / Dental. Dental Providers / Dentist is the primary health care specialty. Prime Dental Pllc can be contacted via phone (248) 987-2879, or through Fisenkova, Sona via phone (248) 987-2879.

Contact Information

Primary practice address
32905 W 12 Mile Rd Ste 140 Farmington Hills MI 48334-3343
Phone: (248) 987-2879
Fax: (248) 715-6367
Website:
Map and Directions
Authorized official contact:
Name: Fisenkova, Sona Doctor of Dental Surgery (DDS)
Phone: (248) 987-2879

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X
Ambulatory Health Care Facilities / Dental 261QD0000X

Profile Details

NPI number 1720551500
LBN Legal business name Prime Dental Pllc
DBA Doing business as
Authorized official Fisenkova, Sona Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 4th, 2019
Last updated Dec 5th, 2022 - about 4 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1720551500 NPPES
Michigan Other 1811380751 SELF

Popular Providers