Ultimate Dental Care

LBN: Ultimate Dental Care
Ultimate Dental Care is an health care organization with primary practice located at 4915 Washington Ave Suite B, Racine WI 53406-4221. The organization recently has only one registered license in Managed Care Organizations / Health Maintenance Organization, which is considered as the primary health care specialty. Ultimate Dental Care can be contacted via phone (262) 619-1949, or through Elchekha, Houssam via phone (573) 639-0256.

Contact Information

Primary practice address
4915 Washington Ave Suite B Racine WI 53406-4221
Phone: (262) 619-1949
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Elchekha, Houssam Doctor of Dental Surgery (DDS)
Phone: (573) 639-0256

Health care specialties

SpecialtyCodeLicense #State
Managed Care Organizations / Health Maintenance Organization 302R00000X 7001-15 Wisconsin

Profile Details

NPI number 1679941447
LBN Legal business name Ultimate Dental Care
DBA Doing business as
Authorized official Elchekha, Houssam Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 9th, 2015
Last updated Sep 9th, 2015 - 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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