Merced Dental Group

LBN: D S Park Dds Mph Inc
Merced Dental Group is an health care organization with primary practice located at 1120 Olivewood Dr , Merced CA 95348. The organization recently has only one registered license in Dental Providers / Dentist, which is considered as the primary health care specialty. D S Park Dds Mph Inc can be contacted via phone (209) 263-1505, or through De Armon, Brandi via phone (209) 325-4395.

Contact Information

Primary practice address
1120 Olivewood Dr Merced CA 95348
Phone: (209) 263-1505
Fax:
Website:
Map and Directions
Authorized official contact:
Name: De Armon, Brandi
Phone: (209) 325-4395

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X California

Profile Details

NPI number 1063942597
LBN Legal business name D S Park Dds Mph Inc
DBA Doing business as Merced Dental Group
Authorized official De Armon, Brandi
Entity Organization
Organization subpart 1 No
Enumeration date Jun 18th, 2017
Last updated Oct 16th, 2018 - about 7 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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Identifiers

StateTypeNumberIssuer
All States NPI 1063942597 NPPES
California MEDICAID 1942410501

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