Southwest Dental Group, S.C.

LBN: Southwest Dental Group, S.C.
Southwest Dental Group, S.C. is an health care organization with primary practice located at 2601 Taylor Ave , Racine WI 53403-2865. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Southwest Dental Group, S.C. can be contacted via phone (262) 632-3156, or through Defurio, Richard L. via phone (262) 632-3156.

Contact Information

Primary practice address
2601 Taylor Ave Racine WI 53403-2865
Phone: (262) 632-3156
Fax: (262) 632-3063
Website:
Map and Directions
Authorized official contact:
Name: Defurio, Richard L. Doctor of Dental Surgery (DDS)
Phone: (262) 632-3156

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X

Profile Details

NPI number 1003942319
LBN Legal business name Southwest Dental Group, S.C.
DBA Doing business as
Authorized official Defurio, Richard L. Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 23rd, 2007
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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