Black Creek Dental Llc

LBN: Black Creek Dental Llc
Black Creek Dental Llc is an health care organization with primary practice located at 207 S Main St , Black Creek WI 54106-9742. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Black Creek Dental Llc can be contacted via phone (920) 984-3315, or through Lornson, Thomas E via phone (920) 984-3315.

Contact Information

Primary practice address
207 S Main St Black Creek WI 54106-9742
Phone: (920) 984-3315
Fax: (920) 984-3317
Website:
Map and Directions
Authorized official contact:
Name: Lornson, Thomas E Doctor of Dental Surgery (DDS)
Phone: (920) 984-3315

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 4932-15 Wisconsin

Profile Details

NPI number 1457716763
LBN Legal business name Black Creek Dental Llc
DBA Doing business as
Authorized official Lornson, Thomas E Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 31st, 2015
Last updated Dec 31st, 2015 - about 10 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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