A Elite Dental, Inc

LBN: A Elite Dental, Inc
A Elite Dental, Inc is an health care organization with primary practice located at 3502 Excel Dr #101, Medford OR 97504-9136. The organization recently has only one registered license in Ambulatory Health Care Facilities / Dental, which is considered as the primary health care specialty. A Elite Dental, Inc can be contacted via phone (541) 690-1656, or through Jung, Tae Kyung via phone (541) 690-1656.

Contact Information

Primary practice address
3502 Excel Dr #101 Medford OR 97504-9136
Phone: (541) 690-1656
Fax: (541) 690-1658
Website:
Map and Directions
Authorized official contact:
Name: Jung, Tae Kyung Doctor of Dental Medicine (DMD)
Phone: (541) 690-1656

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Dental 261QD0000X 1657387-9 Oregon

Profile Details

NPI number 1578003901
LBN Legal business name A Elite Dental, Inc
DBA Doing business as
Authorized official Jung, Tae Kyung Doctor of Dental Medicine (DMD)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 4th, 2017
Last updated Mar 4th, 2017 - about 7 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 1578003901 NPPES
Oregon MEDICAID 240506

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