Eagle Lake Family Dentistry, P.A.

LBN: Eagle Lake Family Dentistry, P.A.
Eagle Lake Family Dentistry, P.A. is an health care organization with primary practice located at 104 Plainview Street Box 97, Eagle Lake MN 56024. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Eagle Lake Family Dentistry, P.A. can be contacted via phone (507) 257-3800, or through Holmberg, Bradley Allan via phone (507) 257-3800.

Contact Information

Primary practice address
104 Plainview Street Box 97 Eagle Lake MN 56024
Phone: (507) 257-3800
Fax: (507) 257-3456
Website:
Map and Directions
Authorized official contact:
Name: Holmberg, Bradley Allan BS, DDS
Phone: (507) 257-3800

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X Minnesota

Profile Details

NPI number 1528138948
LBN Legal business name Eagle Lake Family Dentistry, P.A.
DBA Doing business as
Authorized official Holmberg, Bradley Allan BS, DDS
Entity Organization
Organization subpart 1 No
Enumeration date Nov 9th, 2006
Last updated Feb 9th, 2016 - about 8 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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