Cole And Clark Dental Corporation
LBN: Cole And Clark Dental Corporation
Cole And Clark Dental Corporation is an health care organization with primary practice located at 1801 Solar Dr #100, Oxnard CA 93030-8234. The organization recently has 3 registered licenses in different health care specialties including Dental Providers / Oral and Maxillofacial Pathology, Dental Providers / Oral and Maxillofacial Surgery, Dental Providers / Oral and Maxillofacial Radiology. Dental Providers / Oral and Maxillofacial Surgery is the primary health care specialty.
Cole And Clark Dental Corporation can be contacted via phone (805) 983-3131, or through Clark, William James via phone (805) 983-3131.
Contact Information
Primary practice address
1801 Solar Dr #100
Oxnard CA 93030-8234
Phone: (805) 983-3131
Fax: (805) 983-3000
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Oral and Maxillofacial Pathology | 1223P0106X | 39247 | California |
| Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | 39247 | California |
| Dental Providers / Oral and Maxillofacial Radiology | 1223X0008X | 39247 | California |
Profile Details
| NPI number | 1255520235 |
|---|---|
| LBN Legal business name | Cole And Clark Dental Corporation |
| DBA Doing business as | |
| Authorized official | Clark, William James DDS, MD |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Oct 16th, 2007 |
| Last updated | Apr 11th, 2013 - about 11 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 | 1255520235 | NPPES |
| California | MEDICAID | B29573-01 | |
| California | Other | W14838 |
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