Summit Dental Practice

LBN: Summit Dental Practice
Summit Dental Practice is an health care organization with primary practice located at 25004 Blue Ravine Rd , Folsom CA 95630-5283. The organization recently has only one registered license in Dental Providers / Dentist, which is considered as the primary health care specialty. Summit Dental Practice can be contacted via phone (916) 355-8400, or through Moussavi, Mahnaz via phone (916) 355-8400.

Contact Information

Primary practice address
25004 Blue Ravine Rd Folsom CA 95630-5283
Fax: (916) 355-8460
Website:
Authorized official contact:
Name: Moussavi, Mahnaz

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 39990 California

Profile Details

NPI number 1578956363
LBN Legal business name Summit Dental Practice
DBA Doing business as
Authorized official Moussavi, Mahnaz
Entity Organization
Organization subpart 1 No
Enumeration date Mar 18th, 2015
Last updated Mar 18th, 2015 - 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.

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