Boulevard Dental Care L.L.C.

LBN: Boulevard Dental Care L.L.C.
Boulevard Dental Care L.L.C. is an health care organization with primary practice located at 2645 Muegge Rd , Saint Charles MO 63303-3145. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Boulevard Dental Care L.L.C. can be contacted via phone (636) 939-6868, or through Reyes, Randall Craig via phone (636) 939-6868.

Contact Information

Primary practice address
2645 Muegge Rd Saint Charles MO 63303-3145
Phone: (636) 939-6868
Fax: (636) 447-3611
Website:
Map and Directions
Authorized official contact:
Name: Reyes, Randall Craig Doctor of Dental Medicine (DMD)
Phone: (636) 939-6868

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X

Profile Details

NPI number 1831247048
LBN Legal business name Boulevard Dental Care L.L.C.
DBA Doing business as
Authorized official Reyes, Randall Craig Doctor of Dental Medicine (DMD)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 7th, 2007
Last updated Jul 30th, 2007 - about 18 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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