Shamrock Dental Group, Llc

LBN: Shamrock Dental Group, Llc
Shamrock Dental Group, Llc is an health care organization with primary practice located at 2502 William St Suite 2A, Cape Girardeau MO 63703-5763. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Shamrock Dental Group, Llc can be contacted via phone (573) 334-6009, or through Haberkorn, Robert via phone (573) 334-6009.

Contact Information

Primary practice address
2502 William St Suite 2A Cape Girardeau MO 63703-5763
Phone: (573) 334-6009
Fax: (573) 334-7675
Website:
Map and Directions
Authorized official contact:
Name: Haberkorn, Robert D.D.S , M.B.A
Phone: (573) 334-6009

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 2002031756 Missouri

Profile Details

NPI number 1831363027
LBN Legal business name Shamrock Dental Group, Llc
DBA Doing business as
Authorized official Haberkorn, Robert D.D.S , M.B.A
Entity Organization
Organization subpart 1 No
Enumeration date Apr 17th, 2008
Last updated Apr 17th, 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 1831363027 NPPES
Illinois MEDICAID 1005255/106930

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