Dental Wellness Pa Llc

LBN: Dental Wellness Pa Llc
Dental Wellness Pa Llc is an health care organization with primary practice located at 295 Forest Ave , Portland ME 04101-2018. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Dental Wellness Pa Llc can be contacted via phone (207) 370-0575, or through Kim, Eugene via phone (207) 274-3167.

Contact Information

Primary practice address
295 Forest Ave Portland ME 04101-2018
Phone: (207) 370-0575
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Kim, Eugene Doctor of Dental Surgery (DDS)
Phone: (207) 274-3167

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X

Profile Details

NPI number 1699421800
LBN Legal business name Dental Wellness Pa Llc
DBA Doing business as
Authorized official Kim, Eugene Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 25th, 2022
Last updated Feb 25th, 2022 - about 2 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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