2Brewersandacanuckdental Llc

LBN: 2Brewersandacanuckdental Llc
2Brewersandacanuckdental Llc is an health care organization with primary practice located at 50 Arrowhead Dr , Evanston WY 82930-9243. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. 2Brewersandacanuckdental Llc can be contacted via phone (307) 789-5210, or through Argyle, Jordan via phone (307) 789-5210.

Contact Information

Primary practice address
50 Arrowhead Dr Evanston WY 82930-9243
Phone: (307) 789-5210
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Argyle, Jordan Doctor of Dental Surgery (DDS)
Phone: (307) 789-5210

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X

Profile Details

NPI number 1508532482
LBN Legal business name 2Brewersandacanuckdental Llc
DBA Doing business as
Authorized official Argyle, Jordan Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 19th, 2021
Last updated Aug 19th, 2021 - about 3 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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Identifiers

StateTypeNumberIssuer
All States NPI 1508532482 NPPES
Wyoming MEDICAID 140937900
Wyoming MEDICAID 125569000
Wyoming MEDICAID 119553100

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