Lakeside Family Dentistry

LBN: Estate Of Kevin L. Chancellor
Lakeside Family Dentistry is an health care organization with primary practice located at 3173 Ne West Devils Lake Rd , Lincoln City OR 97367. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Estate Of Kevin L. Chancellor can be contacted via phone (541) 994-8135, or through Chancellor, Danielle M via phone (541) 994-8135.

Contact Information

Primary practice address
3173 Ne West Devils Lake Rd Lincoln City OR 97367
Phone: (541) 994-8135
Fax: (541) 994-8136
Website:
Map and Directions
Authorized official contact:
Name: Chancellor, Danielle M CDA-EFDA
Phone: (541) 994-8135

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X D5874 Oregon

Profile Details

NPI number 1518106228
LBN Legal business name Estate Of Kevin L. Chancellor
DBA Doing business as Lakeside Family Dentistry
Authorized official Chancellor, Danielle M CDA-EFDA
Entity Organization
Organization subpart 1 No
Enumeration date Feb 19th, 2009
Last updated Feb 19th, 2009 - about 16 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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