Brent C. Mackay D.D.S., A Professional Corporation
LBN: Brent C. Mackay D.D.S., A Professional Corporation
Brent C. Mackay D.D.S., A Professional Corporation is an health care organization with primary practice located at 5571 Scottwood Rd , Paradise CA 95969-5043. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty.
Brent C. Mackay D.D.S., A Professional Corporation can be contacted via phone (530) 877-8694, or through Mackay, Brent Calvin via phone (530) 877-8694.
Contact Information
Primary practice address
5571 Scottwood Rd
Paradise CA 95969-5043
Phone: (530) 877-8694
Fax: (530) 877-8038
Website:
Authorized official contact:
Name: Mackay, Brent Calvin Doctor of Dental Surgery (DDS)
Phone: (530) 877-8694
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 25588 | California |
Profile Details
| NPI number | 1710170733 |
|---|---|
| LBN Legal business name | Brent C. Mackay D.D.S., A Professional Corporation |
| DBA Doing business as | |
| Authorized official | Mackay, Brent Calvin Doctor of Dental Surgery (DDS) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Aug 22nd, 2007 |
| Last updated | Aug 22nd, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1710170733 | NPPES |
| California | Other | B25588-01 | MEDI-CAL DENTAL PROGRAM |
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