Kings Mountain Medicaid Dentistry

LBN: Baker, Dest, Baker, Dds, Pllc
Kings Mountain Medicaid Dentistry is an health care organization with primary practice located at 107 E Mountain St , Kings Mountain NC 28086-3442. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Baker, Dest, Baker, Dds, Pllc can be contacted via phone (704) 739-4473, or through Dest, Richard F via phone (704) 547-1279.

Contact Information

Primary practice address
107 E Mountain St Kings Mountain NC 28086-3442
Phone: (704) 739-4473
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Dest, Richard F Doctor of Dental Surgery (DDS)
Phone: (704) 547-1279

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 5283 North Carolina

Profile Details

NPI number 1578720967
LBN Legal business name Baker, Dest, Baker, Dds, Pllc
DBA Doing business as Kings Mountain Medicaid Dentistry
Authorized official Dest, Richard F Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date May 22nd, 2008
Last updated May 28th, 2008 - about 16 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 1578720967 NPPES
North Carolina MEDICAID 890175T

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