Shores Dental Pllc

LBN: Shores Dental Pllc
Shores Dental Pllc is an health care organization with primary practice located at 28503 Little Mack Ave , Saint Clair Shores MI 48081-1119. The organization recently has only one registered license in Dental Providers / Dentist, which is considered as the primary health care specialty. Shores Dental Pllc can be contacted via phone (248) 771-1990, or through Shaw, Randall via phone (248) 931-1151.

Contact Information

Primary practice address
28503 Little Mack Ave Saint Clair Shores MI 48081-1119
Phone: (248) 771-1990
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Shaw, Randall DDS, MS
Phone: (248) 931-1151

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 13819 Michigan

Profile Details

NPI number 1720528599
LBN Legal business name Shores Dental Pllc
DBA Doing business as
Authorized official Shaw, Randall DDS, MS
Entity Organization
Organization subpart 1 No
Enumeration date Feb 27th, 2017
Last updated Feb 27th, 2017 - about 9 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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