Proactive Dental Clinic Corp

LBN: Proactive Healthcare Education Center
Proactive Dental Clinic Corp is an health care organization with primary practice located at 334 E Lake St Ste 105 , Minneapolis MN 55408-2485. The organization recently has only one registered license in Dental Providers / Dental Public Health, which is considered as the primary health care specialty. Proactive Healthcare Education Center can be contacted via phone (310) 883-8932, or through Shire, Solaman via phone (310) 883-8932.

Contact Information

Primary practice address
334 E Lake St Ste 105 Minneapolis MN 55408-2485
Fax:
Website:
Authorized official contact:
Name: Shire, Solaman

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dental Public Health 1223D0001X

Profile Details

NPI number 1003654104
LBN Legal business name Proactive Healthcare Education Center
DBA Doing business as Proactive Dental Clinic Corp
Authorized official Shire, Solaman
Entity Organization
Organization subpart 1 No
Enumeration date Jul 15th, 2024
Last updated Jul 16th, 2024 - about last year

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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