Post Office Lake Dental Associates

LBN: Post Office Lake Dental Associates
Post Office Lake Dental Associates is an health care organization with primary practice located at 603 Post Office Rd Ste 208 , Waldorf MD 20602-1914. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Post Office Lake Dental Associates can be contacted via phone (301) 870-7077, or through Johnson, Kameasa Lavonne via phone (301) 870-7077.

Contact Information

Primary practice address
603 Post Office Rd Ste 208 Waldorf MD 20602-1914
Phone: (301) 870-7077
Fax: (301) 843-8030
Website:
Map and Directions
Authorized official contact:
Name: Johnson, Kameasa Lavonne
Phone: (301) 870-7077

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 10857 Maryland

Profile Details

NPI number 1962663203
LBN Legal business name Post Office Lake Dental Associates
DBA Doing business as
Authorized official Johnson, Kameasa Lavonne
Entity Organization
Organization subpart 1 No
Enumeration date Jun 19th, 2008
Last updated Jun 19th, 2008 - about 16 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 1962663203 NPPES
Maryland MEDICAID 4133552 00
Maryland MEDICAID 776024860
Maryland MEDICAID 775954160

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