South Lake Family Dentistry

LBN: South Lake Family Dentistry
South Lake Family Dentistry is an health care organization with primary practice located at 10515 20Th St Se Suite 201, Lake Stevens WA 98258-4764. The organization recently has only one registered license in Dental Providers / Dentist, which is considered as the primary health care specialty. South Lake Family Dentistry can be contacted via phone (425) 334-9600, or through Miesel, Todd via phone (425) 334-9600.

Contact Information

Primary practice address
10515 20Th St Se Suite 201 Lake Stevens WA 98258-4764
Phone: (425) 334-9600
Fax: (425) 334-9900
Website:
Map and Directions
Authorized official contact:
Name: Miesel, Todd Doctor of Dental Surgery (DDS)
Phone: (425) 334-9600

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 7981 Washington

Profile Details

NPI number 1275942518
LBN Legal business name South Lake Family Dentistry
DBA Doing business as
Authorized official Miesel, Todd Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 12th, 2014
Last updated Aug 12th, 2014 - about 10 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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