FOUR SEASONS DENTAL ASSOCIATES PLLC
NPI 1821165499
Dentist - General Practice in Lake City, MI

NPI Status: Active since November 29, 2006

Contact Information

301 MAIN ST
LAKE CITY, MI
ZIP 49651
Phone: (231) 839-4673
Fax: (231) 839-7874

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  • Organization
  • Dentist
  • General Practice

About FOUR SEASONS DENTAL ASSOCIATES PLLC

This page provides the complete NPI Profile along with additional information for Four Seasons Dental Associates Pllc, a provider established in Lake City, Michigan operating as a Dentist, focusing in general practice . The healthcare provider is registered in the NPI registry with number 1821165499 assigned on November 2006. The practitioner's primary taxonomy code is 1223G0001X. The provider is registered as an organization and their NPI record was last updated 5 years ago. Four Seasons Dental Associates Pllc operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The authorized official of this NPI record is Dr. Dennis E Bushon Dds (Member)

NPI
1821165499
Provider Name
FOUR SEASONS DENTAL ASSOCIATES PLLC
Entity Type
Organization
Location Address
301 MAIN ST LAKE CITY, MI 49651
Location Phone
(231) 839-4673
Location Fax
(231) 839-7874
Mailing Address
PO BOX 589 301 MAIN ST LAKE CITY, MI 49651
Mailing Phone
(231) 839-4673
Mailing Fax
(231) 839-7874
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
11-29-2006
Last Update Date
08-22-2020
Code Navigator

A dentist like Four Seasons Dental Associates Pllc is a skilled in and licensed provider that diagnoses and treats problems with patients teeth, gums, and related parts of the mouth. Dentists educate patients on how to take care of the teeth and gums and provide information on diet choices that affect oral health. Dentists must be licensed in the state in which they work.

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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Dentist General Practice

Taxonomy Code
1223G0001X
Type
Dental Providers
Taxonomy Description
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. DENNIS E BUSHON DDS

Authorized Official Title
MEMBER
Authorized Official Phone
(231) 839-4673

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
8011320OTHER (01)BCBS OF MICHIGAN

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1821165499
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
28412610418
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 8 + 4 + 1 + 2 + 6 + 1 + 0 + 4 + 1 + 8 + 24 = 61
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 61 = 99

The NPI number 1821165499 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1821165499, enumerated in the NPI registry as an "organization" on November 29, 2006

The provider is located at 301 Main St Lake City, Mi 49651 and the phone number is (231) 839-4673

This medical organization specializes in Dentist with taxonomy code 1223G0001X with a focus in General Practice

The provider might be accepting Accepts: Blue Cross Blue Shield, Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on November 29, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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