Austin Family Dentistry Pllc

LBN: Austin Family Dentistry Pllc
Austin Family Dentistry Pllc is an health care organization with primary practice located at 2100 Se 164Th Ave #D102, Vancouver WA 98683. The organization recently has only one registered license in Dental Providers / Dentist, which is considered as the primary health care specialty. Austin Family Dentistry Pllc can be contacted via phone (360) 882-1647, or through Austin, Mark S via phone (360) 882-1647.

Contact Information

Primary practice address
2100 Se 164Th Ave #D102 Vancouver WA 98683
Phone: (360) 882-1647
Fax: (360) 882-1446
Website:
Map and Directions
Authorized official contact:
Name: Austin, Mark S Doctor of Dental Surgery (DDS)
Phone: (360) 882-1647

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X DE8705 Washington

Profile Details

NPI number 1407925456
LBN Legal business name Austin Family Dentistry Pllc
DBA Doing business as
Authorized official Austin, Mark S Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 6th, 2006
Last updated Aug 22nd, 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 1407925456 NPPES
Other 999320 UNITED CONCORDIA TRICARE

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