Vision Dental Consulting

LBN: Vision Dental Consulting
Vision Dental Consulting is an health care organization with primary practice located at 7808 Mahan Gap Rd , Ooltewah TN 37363-5708. The organization recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as the primary health care specialty. Vision Dental Consulting can be contacted via phone (805) 794-5842, or through Walker, Tracy Dean via phone (805) 794-5842.

Contact Information

Primary practice address
7808 Mahan Gap Rd Ooltewah TN 37363-5708
Fax:
Website:
Authorized official contact:
Name: Walker, Tracy Dean DDS, MS

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Pediatric Dentistry 1223P0221X

Profile Details

NPI number 1740771609
LBN Legal business name Vision Dental Consulting
DBA Doing business as
Authorized official Walker, Tracy Dean DDS, MS
Entity Organization
Organization subpart 1 No
Enumeration date May 25th, 2018
Last updated May 25th, 2018 - about 7 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 1740771609 NPPES
Tennessee MEDICAID Q030018

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