Spencer & Lakes Regional Oral & Maxillofacial Surgery
LBN: Karen Potaczek, D.D.S., P.C.
Spencer & Lakes Regional Oral & Maxillofacial Surgery is an health care organization with primary practice located at 116 E 11Th St Suite 201, Spencer IA 51301-4393. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery, which is considered as the primary health care specialty.
Karen Potaczek, D.D.S., P.C. can be contacted via phone (712) 262-7350, or through Potaczek, Karen via phone (712) 262-7350.
Contact Information
Primary practice address
116 E 11Th St Suite 201
Spencer IA 51301-4393
Phone: (712) 262-7350
Fax: (712) 262-7351
Website:
Authorized official contact:
Name: Potaczek, Karen Doctor of Dental Surgery (DDS)
Phone: (712) 262-7350
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery | 204E00000X |
Profile Details
| NPI number | 1225468812 |
|---|---|
| LBN Legal business name | Karen Potaczek, D.D.S., P.C. |
| DBA Doing business as | Spencer & Lakes Regional Oral & Maxillofacial Surgery |
| Authorized official | Potaczek, Karen Doctor of Dental Surgery (DDS) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Nov 18th, 2013 |
| Last updated | Feb 11th, 2014 - about 11 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 | 1225468812 | NPPES |
| Minnesota | MEDICAID | 1225468812 | |
| Minnesota | MEDICAID | 1225468812 |
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