North Heacock Dental Group

LBN: David Reagan & Robert Smith Dds Smith Robert F Gen Ptr.
North Heacock Dental Group is an health care organization with primary practice located at 11401 Heacock St Suite 320, Moreno Valley CA 92557-9998. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. David Reagan & Robert Smith Dds Smith Robert F Gen Ptr. can be contacted via phone (951) 247-7040, or through Reagan, David L via phone (951) 247-7040.

Contact Information

Primary practice address
11401 Heacock St Suite 320 Moreno Valley CA 92557-9998
Phone: (951) 247-7040
Fax: (951) 247-5092
Website:
Map and Directions
Authorized official contact:
Name: Reagan, David L Doctor of Dental Surgery (DDS)
Phone: (951) 247-7040

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X DH32166 California
Dental Providers / General Practice 1223G0001X DB31029 California

Profile Details

NPI number 1669540084
LBN Legal business name David Reagan & Robert Smith Dds Smith Robert F Gen Ptr.
DBA Doing business as North Heacock Dental Group
Authorized official Reagan, David L Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 1st, 2006
Last updated Jan 20th, 2020 - about 4 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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