West Allis Dental Care, Llc

LBN: Douglas Persich, Dds
West Allis Dental Care, Llc is an health care organization with primary practice located at 7130 W Greenfield Ave , West Allis WI 53214-4708. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Douglas Persich, Dds can be contacted via phone (414) 258-2500, or through Persich, Douglas J via phone (414) 258-2500.

Contact Information

Primary practice address
7130 W Greenfield Ave West Allis WI 53214-4708
Fax: (414) 238-6881
Website:
Authorized official contact:
Name: Persich, Douglas J Doctor of Dental Surgery (DDS)

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 5001644 Wisconsin

Profile Details

NPI number 1174604888
LBN Legal business name Douglas Persich, Dds
DBA Doing business as West Allis Dental Care, Llc
Authorized official Persich, Douglas J Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 18th, 2006
Last updated Aug 22nd, 2020 - about 5 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 1174604888 NPPES
Wisconsin MEDICAID 38357100

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