South Center Pediatric Dentistry And Orthodontic
LBN: South Center Pediatric Dentistry And Orthodontics Llc
South Center Pediatric Dentistry And Orthodontic is an health care organization with primary practice located at 505 Strander Blvd , Tukwila WA 98188-2920. The organization recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as the primary health care specialty.
South Center Pediatric Dentistry And Orthodontics Llc can be contacted via phone (206) 575-2556, or through Virk, Mahadeep S via phone (206) 575-2556.
Contact Information
Primary practice address
505 Strander Blvd
Tukwila WA 98188-2920
Phone: (206) 575-2556
Fax: (253) 604-0598
Website:
Authorized official contact:
Name: Virk, Mahadeep S Doctor of Dental Medicine (DMD)
Phone: (206) 575-2556
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Pediatric Dentistry | 1223P0221X | 603591381 | Washington |
Profile Details
| NPI number | 1275996191 |
|---|---|
| LBN Legal business name | South Center Pediatric Dentistry And Orthodontics Llc |
| DBA Doing business as | South Center Pediatric Dentistry And Orthodontic |
| Authorized official | Virk, Mahadeep S Doctor of Dental Medicine (DMD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Mar 29th, 2016 |
| Last updated | Mar 29th, 2016 - about 9 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1275996191 | NPPES |
| Washington | MEDICAID | 2010685 |
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