West Edgewood Dental, Vanderveen Dental

LBN: Nelson Henry, Dds, Llc
West Edgewood Dental, Vanderveen Dental is an health care organization with primary practice located at 3306 Emerald Ln , Jefferson City MO 65109-6877. The organization recently has only one registered license in Dental Providers / Dentist, which is considered as the primary health care specialty. Nelson Henry, Dds, Llc can be contacted via phone (573) 634-2222, or through Henry, Nelson via phone (573) 634-2222.

Contact Information

Primary practice address
3306 Emerald Ln Jefferson City MO 65109-6877
Phone: (573) 634-2222
Fax: (573) 634-8812
Website:
Map and Directions
Authorized official contact:
Name: Henry, Nelson Doctor of Dental Surgery (DDS)
Phone: (573) 634-2222

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 016072 Missouri

Profile Details

NPI number 1093937518
LBN Legal business name Nelson Henry, Dds, Llc
DBA Doing business as West Edgewood Dental, Vanderveen Dental
Authorized official Henry, Nelson Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date May 3rd, 2007
Last updated Aug 22nd, 2020 - about 4 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 1093937518 NPPES
Missouri MEDICAID 113009
Missouri MEDICAID 113013

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