Mountain Dental Anesthesia Llc

LBN: Mountain Dental Anesthesia Llc
Mountain Dental Anesthesia Llc is an health care organization with primary practice located at 11001 W 120Th Ave Ste 400 , Broomfield CO 80021-3493. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Mountain Dental Anesthesia Llc can be contacted via phone (317) 459-0738, or through Yancey, John Russell via phone (317) 459-0738.

Contact Information

Primary practice address
11001 W 120Th Ave Ste 400 Broomfield CO 80021-3493
Phone: (317) 459-0738
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Yancey, John Russell Doctor of Dental Surgery (DDS)
Phone: (317) 459-0738

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X

Profile Details

NPI number 1922642743
LBN Legal business name Mountain Dental Anesthesia Llc
DBA Doing business as
Authorized official Yancey, John Russell Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 Yes
Enumeration date Nov 5th, 2019
Last updated Nov 5th, 2019 - about 5 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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