Jonathan Oudin, Dds, Llc

LBN: Jonathan Oudin, Dds, Llc
Jonathan Oudin, Dds, Llc is an health care organization with primary practice located at 1700 E Bogard Rd Ste A201 , Wasilla AK 99654-6569. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Jonathan Oudin, Dds, Llc can be contacted via phone (907) 373-8455, or through Oudin, Jonathan via phone (214) 317-0521.

Contact Information

Primary practice address
1700 E Bogard Rd Ste A201 Wasilla AK 99654-6569
Fax: (907) 373-8456
Website:
Authorized official contact:
Name: Oudin, Jonathan Doctor of Dental Surgery (DDS)

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X

Profile Details

NPI number 1265167522
LBN Legal business name Jonathan Oudin, Dds, Llc
DBA Doing business as
Authorized official Oudin, Jonathan Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 20th, 2022
Last updated Jul 20th, 2022 - about 3 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 1265167522 NPPES
Alaska MEDICAID 1574946

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