Timothy E Mickiewicz Dental Corporation

LBN: Timothy E Mickiewicz Dental Corporation
Timothy E Mickiewicz Dental Corporation is an health care organization with primary practice located at 3401 Folsom Blvd Suite A, Sacramento CA 95816-5354. The organization recently has only one registered license in Managed Care Organizations / Preferred Provider Organization, which is considered as the primary health care specialty. Timothy E Mickiewicz Dental Corporation can be contacted via phone (916) 457-7710, or through Mickiewicz, Timothy via phone (916) 457-7710.

Contact Information

Primary practice address
3401 Folsom Blvd Suite A Sacramento CA 95816-5354
Phone: (916) 457-7710
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Mickiewicz, Timothy Doctor of Dental Surgery (DDS)
Phone: (916) 457-7710

Health care specialties

SpecialtyCodeLicense #State
Managed Care Organizations / Preferred Provider Organization 305R00000X 30810 California

Profile Details

NPI number 1558668244
LBN Legal business name Timothy E Mickiewicz Dental Corporation
DBA Doing business as
Authorized official Mickiewicz, Timothy Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 16th, 2011
Last updated Aug 13th, 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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