State Street Family Dental

LBN: State Street Family Dental
State Street Family Dental is an health care organization with primary practice located at 100 S Scott Rd , Saint Johns MI 48879-9038. The organization recently has only one registered license in Dental Providers / Dentist, which is considered as the primary health care specialty. State Street Family Dental can be contacted via phone (989) 227-1858, or through Osborne, Jennifer Nicole via phone (989) 227-1858.

Contact Information

Primary practice address
100 S Scott Rd Saint Johns MI 48879-9038
Phone: (989) 227-1858
Fax: (989) 227-2268
Website:
Map and Directions
Authorized official contact:
Name: Osborne, Jennifer Nicole
Phone: (989) 227-1858

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 13188 Michigan
Dental Providers / Dentist 122300000X 901013605 Michigan
Dental Providers / Dentist 122300000X 2901018410 Michigan
Dental Providers / Dentist 122300000X 012271 Michigan
Dental Providers / Dentist 122300000X 2901019279 Michigan

Profile Details

NPI number 1669604484
LBN Legal business name State Street Family Dental
DBA Doing business as
Authorized official Osborne, Jennifer Nicole
Entity Organization
Organization subpart 1 No
Enumeration date Aug 12th, 2009
Last updated Aug 12th, 2009 - about 17 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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