Champagne And Light, Dmds, Llc

LBN: Champagne And Light, Dmds, Llc
Champagne And Light, Dmds, Llc is an health care organization with primary practice located at 189 Waterman St , Providence RI 02906-4014. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Champagne And Light, Dmds, Llc can be contacted via phone (401) 351-0072, or through Light, Gary Douglas via phone (401) 351-0072.

Contact Information

Primary practice address
189 Waterman St Providence RI 02906-4014
Phone: (401) 351-0072
Fax: (401) 351-0055
Website:
Map and Directions
Authorized official contact:
Name: Light, Gary Douglas Doctor of Dental Medicine (DMD)
Phone: (401) 351-0072

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X DEN2216 Rhode Island

Profile Details

NPI number 1548439417
LBN Legal business name Champagne And Light, Dmds, Llc
DBA Doing business as
Authorized official Light, Gary Douglas Doctor of Dental Medicine (DMD)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 26th, 2008
Last updated Feb 26th, 2008 - about 17 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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