Embrace Clear Lake Llc

LBN: Embrace Clear Lake Llc
Embrace Clear Lake Llc is an health care organization with primary practice located at 210 3Rd Ave South , Clear Lake SD 57226. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Embrace Clear Lake Llc can be contacted via phone (605) 874-2230, or through Prouty, Brian via phone (605) 874-2230.

Contact Information

Primary practice address
210 3Rd Ave South Clear Lake SD 57226
Fax: (605) 657-0054
Website:
Authorized official contact:
Name: Prouty, Brian Doctor of Dental Surgery (DDS)

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X

Profile Details

NPI number 1639948482
LBN Legal business name Embrace Clear Lake Llc
DBA Doing business as
Authorized official Prouty, Brian Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 21st, 2023
Last updated Dec 21st, 2023 - about last year

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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