St. Joseph Health Mobile Dental

LBN: St. Joseph Health Northern California, Llc
St. Joseph Health Mobile Dental is an health care organization with primary practice located at 751 Lombardi Ct , Santa Rosa CA 95407. The organization recently has only one registered license in Ambulatory Health Care Facilities / Dental, which is considered as the primary health care specialty. St. Joseph Health Northern California, Llc can be contacted via phone (707) 547-2237, or through Anderson, Donald Wayne via phone (425) 525-5392.

Contact Information

Primary practice address
751 Lombardi Ct Santa Rosa CA 95407
Phone: (707) 547-2237
Fax: (707) 547-2230
Website:
Map and Directions
Authorized official contact:
Name: Anderson, Donald Wayne
Phone: (425) 525-5392

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Dental 261QD0000X 110000498 California

Profile Details

NPI number 1326174319
LBN Legal business name St. Joseph Health Northern California, Llc
DBA Doing business as St. Joseph Health Mobile Dental
Authorized official Anderson, Donald Wayne
Entity Organization
Organization subpart 1 Yes
Enumeration date Feb 26th, 2007
Last updated Nov 3rd, 2021 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1326174319 NPPES
California Other G9048301 MEDICAL PROVIDER NUMBER

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