Park Avenue Dental

LBN: Clark Family Dental Inc
Park Avenue Dental is an health care organization with primary practice located at 777 Park Avenue , Chippewa Falls WI 54729. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Clark Family Dental Inc can be contacted via phone (715) 723-0367, or through Clark, Jeffrey Michael via phone (715) 723-0367.

Contact Information

Primary practice address
777 Park Avenue Chippewa Falls WI 54729
Phone: (715) 723-0367
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Clark, Jeffrey Michael Doctor of Dental Medicine (DMD)
Phone: (715) 723-0367

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 6137015 Wisconsin

Profile Details

NPI number 1689811853
LBN Legal business name Clark Family Dental Inc
DBA Doing business as Park Avenue Dental
Authorized official Clark, Jeffrey Michael Doctor of Dental Medicine (DMD)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 9th, 2009
Last updated Jan 9th, 2009 - about 16 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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