Fremont Health Center Dental Group

LBN: Fremont Health Center Dental Group
Fremont Health Center Dental Group is an health care organization with primary practice located at 2043 E Fremont St Ste 1 , Stockton CA 95205-5000. The organization recently has only one registered license in Dental Providers / Dentist, which is considered as the primary health care specialty. Fremont Health Center Dental Group can be contacted via phone (209) 463-2345, or through Pippenger, Kelly via phone (209) 463-2345.

Contact Information

Primary practice address
2043 E Fremont St Ste 1 Stockton CA 95205-5000
Phone: (209) 463-2345
Fax: (209) 463-1432
Website:
Map and Directions
Authorized official contact:
Name: Pippenger, Kelly
Phone: (209) 463-2345

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X D37743 California

Profile Details

NPI number 1164622882
LBN Legal business name Fremont Health Center Dental Group
DBA Doing business as
Authorized official Pippenger, Kelly
Entity Organization
Organization subpart 1 Yes
Enumeration date Jul 20th, 2007
Last updated Jul 16th, 2008 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1164622882 NPPES
Other G89962-01 DENTICAL

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