Randy J Kovicak, Dds, Pllc

LBN: Randy J Kovicak, Dds, Pllc
Randy J Kovicak, Dds, Pllc is an health care organization with primary practice located at 935 W Norton Ave Ste B , Norton Shores MI 49441-4195. The organization recently has only one registered license in Dental Providers / Dentist, which is considered as the primary health care specialty. Randy J Kovicak, Dds, Pllc can be contacted via phone (231) 739-1300, or through Matta, Andrew via phone (231) 739-1300.

Contact Information

Primary practice address
935 W Norton Ave Ste B Norton Shores MI 49441-4195
Phone: (231) 739-1300
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Matta, Andrew
Phone: (231) 739-1300

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X

Profile Details

NPI number 1528547668
LBN Legal business name Randy J Kovicak, Dds, Pllc
DBA Doing business as
Authorized official Matta, Andrew
Entity Organization
Organization subpart 1 No
Enumeration date Aug 9th, 2018
Last updated Aug 9th, 2018 - about 8 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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