Northside Dental Clinic

LBN: Northside Dental Clinic
Northside Dental Clinic is an health care organization with primary practice located at 2105 W Kearney St Suite A, Springfield MO 65803-1652. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Northside Dental Clinic can be contacted via phone (417) 862-2468, or through Williams, Lemmie via phone (417) 862-2468.

Contact Information

Primary practice address
2105 W Kearney St Suite A Springfield MO 65803-1652
Phone: (417) 862-2468
Fax: (417) 863-6775
Website:
Map and Directions
Authorized official contact:
Name: Williams, Lemmie
Phone: (417) 862-2468

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 10691 Missouri

Profile Details

NPI number 1538288071
LBN Legal business name Northside Dental Clinic
DBA Doing business as
Authorized official Williams, Lemmie
Entity Organization
Organization subpart 1 No
Enumeration date Mar 28th, 2007
Last updated Aug 22nd, 2020 - 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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