Old Oaks Dental Llc

LBN: Old Oaks Dental Llc
Old Oaks Dental Llc is an health care organization with primary practice located at 9809 39Th Ave Ste 1 , Pleasant Prairie WI 53158-3733. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Old Oaks Dental Llc can be contacted via phone (715) 573-3868, or through Bushong, Aaron via phone (715) 573-3868.

Contact Information

Primary practice address
9809 39Th Ave Ste 1 Pleasant Prairie WI 53158-3733
Phone: (715) 573-3868
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Bushong, Aaron Doctor of Dental Surgery (DDS)
Phone: (715) 573-3868

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X

Profile Details

NPI number 1093446163
LBN Legal business name Old Oaks Dental Llc
DBA Doing business as
Authorized official Bushong, Aaron Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 20th, 2022
Last updated Jun 20th, 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.

Request for update

Popular Providers