River City Dental, Llc

LBN: River City Dental, Llc
River City Dental, Llc is an health care organization with primary practice located at 1201 Maine Prairie Rd , Saint Cloud MN 56301-4881. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. River City Dental, Llc can be contacted via phone (320) 252-6233, or through Mcbroom, Dedric via phone (320) 252-6233.

Contact Information

Primary practice address
1201 Maine Prairie Rd Saint Cloud MN 56301-4881
Phone: (320) 252-6233
Fax: (320) 252-9261
Website:
Map and Directions
Authorized official contact:
Name: Mcbroom, Dedric
Phone: (320) 252-6233

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X

Profile Details

NPI number 1356411417
LBN Legal business name River City Dental, Llc
DBA Doing business as
Authorized official Mcbroom, Dedric
Entity Organization
Organization subpart 1 No
Enumeration date Nov 8th, 2006
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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