East Grove Dental Sc

LBN: East Grove Dental Sc
East Grove Dental Sc is an health care organization with primary practice located at 826 Atlas Ave , Madison WI 53714-3114. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. East Grove Dental Sc can be contacted via phone (608) 222-8344, or through Lysloff, Sandra L via phone (608) 222-8344.

Contact Information

Primary practice address
826 Atlas Ave Madison WI 53714-3114
Phone: (608) 222-8344
Fax: (608) 222-8376
Website:
Map and Directions
Authorized official contact:
Name: Lysloff, Sandra L
Phone: (608) 222-8344

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 1727G Wisconsin
Dental Providers / General Practice 1223G0001X 2808 Wisconsin
Dental Providers / General Practice 1223G0001X 5133 Wisconsin

Profile Details

NPI number 1023073178
LBN Legal business name East Grove Dental Sc
DBA Doing business as
Authorized official Lysloff, Sandra L
Entity Organization
Organization subpart 1 No
Enumeration date Apr 20th, 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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