Chicago Lake Dental

LBN: Chicago Lake Dental
Chicago Lake Dental is an health care organization with primary practice located at 2900 Chicago Ave , Minneapolis MN 55407-1322. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Chicago Lake Dental can be contacted via phone (612) 823-2080, or through Johnson, David William via phone (612) 823-2080.

Contact Information

Primary practice address
2900 Chicago Ave Minneapolis MN 55407-1322
Phone: (612) 823-2080
Fax: (612) 823-5777
Website:
Map and Directions
Authorized official contact:
Name: Johnson, David William Doctor of Dental Surgery (DDS)
Phone: (612) 823-2080

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X D9512 Minnesota

Profile Details

NPI number 1497936389
LBN Legal business name Chicago Lake Dental
DBA Doing business as
Authorized official Johnson, David William Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 19th, 2007
Last updated Nov 19th, 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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