Southridge Dental

LBN: Eric Winterton Dds Pllc
Southridge Dental is an health care organization with primary practice located at 3911 W 27Th Ave Ste 105 , Kennewick WA 99337-2483. The organization recently has only one registered license in Ambulatory Health Care Facilities / Dental, which is considered as the primary health care specialty. Eric Winterton Dds Pllc can be contacted via phone (509) 581-0081, or through Winterton, Eric via phone (509) 581-0081.

Contact Information

Primary practice address
3911 W 27Th Ave Ste 105 Kennewick WA 99337-2483
Fax:
Website:
Authorized official contact:
Name: Winterton, Eric Doctor of Dental Surgery (DDS)

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Dental 261QD0000X DE60232632 Washington

Profile Details

NPI number 1215326202
LBN Legal business name Eric Winterton Dds Pllc
DBA Doing business as Southridge Dental
Authorized official Winterton, Eric Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 14th, 2015
Last updated Jan 14th, 2015 - about 9 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 1215326202 NPPES
Washington MEDICAID 2038359

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