Seniorcare Mobile Dentistry
LBN: Seniorcare Mobile Dentistry
Seniorcare Mobile Dentistry is an health care organization with primary practice located at 22540 Harper Ave , Saint Clair Shores MI 48080-2941. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Skilled Nursing Facility, which is considered as the primary health care specialty.
Seniorcare Mobile Dentistry can be contacted via phone (586) 445-1802, or through Jerger, Thomas William via phone (586) 445-2320.
Contact Information
Primary practice address
22540 Harper Ave
Saint Clair Shores MI 48080-2941
Phone: (586) 445-1802
Fax:
Website:
Authorized official contact:
Name: Jerger, Thomas William Doctor of Dental Surgery (DDS)
Phone: (586) 445-2320
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing & Custodial Care Facilities / Skilled Nursing Facility | 314000000X | 2901013471 | Michigan |
Profile Details
| NPI number | 1457476053 |
|---|---|
| LBN Legal business name | Seniorcare Mobile Dentistry |
| DBA Doing business as | |
| Authorized official | Jerger, Thomas William Doctor of Dental Surgery (DDS) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Mar 20th, 2007 |
| Last updated | Aug 22nd, 2020 - about 6 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1457476053 | NPPES |
| Michigan | MEDICAID | 4068883 |
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