Drkbchasellc

LBN: Drkbchasellc
Drkbchasellc is an health care organization with primary practice located at 23808 Hollywood Rd , Leonardtown MD 20650-5825. The organization recently has 2 registered licenses in different health care specialties including Dental Providers / General Practice, Dental Providers / Pediatric Dentistry. Dental Providers / General Practice is the primary health care specialty. Drkbchasellc can be contacted via phone (301) 475-5926, or through Chase, Kenneth Bernard via phone (301) 475-5926.

Contact Information

Primary practice address
23808 Hollywood Rd Leonardtown MD 20650-5825
Phone: (301) 475-5926
Fax: (301) 475-2653
Website:
Map and Directions
Authorized official contact:
Name: Chase, Kenneth Bernard Doctor of Dental Surgery (DDS)
Phone: (301) 475-5926

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 6787 Maryland
Dental Providers / Pediatric Dentistry 1223P0221X 14062 Maryland

Profile Details

NPI number 1912221649
LBN Legal business name Drkbchasellc
DBA Doing business as
Authorized official Chase, Kenneth Bernard Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 24th, 2010
Last updated Mar 24th, 2010 - about 14 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 1912221649 NPPES
Maryland MEDICAID 122300000X

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