49Th State Family Dentistry Llc

LBN: 49Th State Family Dentistry Llc
49Th State Family Dentistry Llc is an health care organization with primary practice located at 10998 Omalley Centre Dr Ste A , Anchorage AK 99515-3168. The organization recently has only one registered license in Ambulatory Health Care Facilities / Dental, which is considered as the primary health care specialty. 49Th State Family Dentistry Llc can be contacted via phone (907) 561-5154, or through Donohue, Ellen via phone (907) 561-5154.

Contact Information

Primary practice address
10998 Omalley Centre Dr Ste A Anchorage AK 99515-3168
Phone: (907) 561-5154
Fax: (907) 561-2253
Website:
Map and Directions
Authorized official contact:
Name: Donohue, Ellen Doctor of Dental Surgery (DDS)
Phone: (907) 561-5154

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Dental 261QD0000X

Profile Details

NPI number 1669065132
LBN Legal business name 49Th State Family Dentistry Llc
DBA Doing business as
Authorized official Donohue, Ellen Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 16th, 2021
Last updated Feb 16th, 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 1669065132 NPPES
Other 1114268711 TYPE 1 NPI

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