Modern Dental Center Llc

LBN: Modern Dental Center Llc
Modern Dental Center Llc is an health care organization with primary practice located at 101 Camelot Dr Ste 3 , Fond Du Lac WI 54935-8048. The organization recently has only one registered license in Dental Providers / Dentist, which is considered as the primary health care specialty. Modern Dental Center Llc can be contacted via phone (920) 921-1244, or through Cole, Michael via phone (727) 424-2990.

Contact Information

Primary practice address
101 Camelot Dr Ste 3 Fond Du Lac WI 54935-8048
Phone: (920) 921-1244
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Cole, Michael
Phone: (727) 424-2990

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X

Profile Details

NPI number 1689320897
LBN Legal business name Modern Dental Center Llc
DBA Doing business as
Authorized official Cole, Michael
Entity Organization
Organization subpart 1 No
Enumeration date Feb 25th, 2022
Last updated Feb 25th, 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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