555 W Elm St Dentistry Llc

LBN: 555 W Elm St Dentistry Llc
555 W Elm St Dentistry Llc is an health care organization with primary practice located at 555 W Elm St , Lima OH 45801-4757. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. 555 W Elm St Dentistry Llc can be contacted via phone (419) 229-0776, or through Hancock, David Wayne via phone (419) 229-0776.

Contact Information

Primary practice address
555 W Elm St Lima OH 45801-4757
Phone: (419) 229-0776
Fax: (419) 229-3828
Website:
Map and Directions
Authorized official contact:
Name: Hancock, David Wayne
Phone: (419) 229-0776

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 30 . 20842 Ohio

Profile Details

NPI number 1043351034
LBN Legal business name 555 W Elm St Dentistry Llc
DBA Doing business as
Authorized official Hancock, David Wayne
Entity Organization
Organization subpart 1 No
Enumeration date Feb 10th, 2007
Last updated Mar 19th, 2008 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1043351034 NPPES
Ohio MEDICAID 2081376

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