Lakewood Family Dental Inc

LBN: Lakewood Family Dental Inc
Lakewood Family Dental Inc is an health care organization with primary practice located at 4512 Parnell Ave , Fort Wayne IN 46825-5836. The organization recently has only one registered license in Dental Providers / Dentist, which is considered as the primary health care specialty. Lakewood Family Dental Inc can be contacted via phone (732) 379-0953, or through Kakollu, Srinivasulu via phone (732) 379-0953.

Contact Information

Primary practice address
4512 Parnell Ave Fort Wayne IN 46825-5836
Phone: (732) 379-0953
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Kakollu, Srinivasulu Doctor of Dental Surgery (DDS)
Phone: (732) 379-0953

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 019028401 Illinois

Profile Details

NPI number 1386062768
LBN Legal business name Lakewood Family Dental Inc
DBA Doing business as
Authorized official Kakollu, Srinivasulu Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 2nd, 2014
Last updated Apr 3rd, 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.

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