Joseph Phen, Dentist, A Dental Corporation
LBN: Joseph Phen, Dentist, A Dental Corporation
Joseph Phen, Dentist, A Dental Corporation is an health care organization with primary practice located at 8351 Elk Grove Blvd Ste 300 , Elk Grove CA 95758-5515. The organization recently has only one registered license in Managed Care Organizations / Preferred Provider Organization, which is considered as the primary health care specialty.
Joseph Phen, Dentist, A Dental Corporation can be contacted via phone (916) 691-6997, or through Phen, Joseph via phone (916) 691-6997.
Contact Information
Primary practice address
8351 Elk Grove Blvd Ste 300
Elk Grove CA 95758-5515
Phone: (916) 691-6997
Fax:
Website:
Authorized official contact:
Name: Phen, Joseph Doctor of Dental Surgery (DDS)
Phone: (916) 691-6997
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Managed Care Organizations / Preferred Provider Organization | 305R00000X | 45172 | California |
Profile Details
| NPI number | 1164820130 |
|---|---|
| LBN Legal business name | Joseph Phen, Dentist, A Dental Corporation |
| DBA Doing business as | |
| Authorized official | Phen, Joseph Doctor of Dental Surgery (DDS) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Dec 8th, 2014 |
| Last updated | Dec 8th, 2014 - about 10 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1164820130 | NPPES |
| California | Other | 1285691907 | DENTISTRY |
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