Healthdrive Dental Group

LBN: Alec H. Jaret, Dmd, Pc
Healthdrive Dental Group is an health care organization with primary practice located at 200 S Executive Dr Suite 101, Brookfield WI 53005-4216. The organization recently has only one registered license in Dental Providers / Dentist, which is considered as the primary health care specialty. Alec H. Jaret, Dmd, Pc can be contacted via phone (414) 535-8134, or through Jaret, Alec H. via phone (617) 964-6681.

Contact Information

Primary practice address
200 S Executive Dr Suite 101 Brookfield WI 53005-4216
Phone: (414) 535-8134
Fax: (414) 535-8135
Website:
Map and Directions
Authorized official contact:
Name: Jaret, Alec H. Doctor of Dental Medicine (DMD)
Phone: (617) 964-6681

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X

Profile Details

NPI number 1710919824
LBN Legal business name Alec H. Jaret, Dmd, Pc
DBA Doing business as Healthdrive Dental Group
Authorized official Jaret, Alec H. Doctor of Dental Medicine (DMD)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 7th, 2006
Last updated Jan 2nd, 2020 - about 4 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 1710919824 NPPES
Wisconsin MEDICAID 38388700

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