Lake Dental Of Saratoga, Pc

LBN: Lake Dental Of Saratoga, Pc
Lake Dental Of Saratoga, Pc is an health care organization with primary practice located at 176 Lake Ave , Saratoga Springs NY 12866-2529. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Lake Dental Of Saratoga, Pc can be contacted via phone (518) 935-0068, or through Dennis, Tracie Lynn via phone (518) 817-2490.

Contact Information

Primary practice address
176 Lake Ave Saratoga Springs NY 12866-2529
Phone: (518) 935-0068
Fax: (518) 581-1145
Website:
Map and Directions
Authorized official contact:
Name: Dennis, Tracie Lynn
Phone: (518) 817-2490

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 052845 New York
Dental Providers / General Practice 1223G0001X 022051-1 New York

Profile Details

NPI number 1801196134
LBN Legal business name Lake Dental Of Saratoga, Pc
DBA Doing business as
Authorized official Dennis, Tracie Lynn
Entity Organization
Organization subpart 1 No
Enumeration date Nov 3rd, 2010
Last updated Mar 17th, 2018 - about 7 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 1801196134 NPPES
New York MEDICAID 1710943774
New York MEDICAID 1467654178

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