Douglas County Dental Clinic, Inc

LBN: Douglas County Dental Clinic, Inc
Douglas County Dental Clinic, Inc is an health care organization with primary practice located at 2210 Yale Rd , Lawrence KS 66049-2647. The organization recently has only one registered license in Dental Providers / Dental Public Health, which is considered as the primary health care specialty. Douglas County Dental Clinic, Inc can be contacted via phone (785) 312-7770, or through Branstrom, Julie Meredith via phone (785) 312-7770.

Contact Information

Primary practice address
2210 Yale Rd Lawrence KS 66049-2647
Fax: (785) 312-9447
Website:
Authorized official contact:
Name: Branstrom, Julie Meredith

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dental Public Health 1223D0001X 60218 Kansas

Profile Details

NPI number 1396734737
LBN Legal business name Douglas County Dental Clinic, Inc
DBA Doing business as
Authorized official Branstrom, Julie Meredith
Entity Organization
Organization subpart 1 No
Enumeration date Oct 18th, 2005
Last updated Nov 5th, 2014 - about 10 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 1396734737 NPPES
Kansas MEDICAID 103395
Kansas MEDICAID 100414900A

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