Smile Island Pediatric & Adult Dental Group
LBN: Weideman-Tse Dental Corporation
Smile Island Pediatric & Adult Dental Group is an health care organization with primary practice located at 6522 Lonetree Blvd , Rocklin CA 95765-5874. The organization recently has 2 registered licenses in different health care specialties including Dental Providers / General Practice, Dental Providers / Pediatric Dentistry. Dental Providers / Pediatric Dentistry is the primary health care specialty.
Weideman-Tse Dental Corporation can be contacted via phone (916) 773-6565, or through Tse, Kelvin A via phone (916) 773-6565.
Contact Information
Primary practice address
6522 Lonetree Blvd
Rocklin CA 95765-5874
Phone: (916) 773-6565
Fax: (916) 773-6510
Website:
Authorized official contact:
Name: Tse, Kelvin A Doctor of Dental Surgery (DDS)
Phone: (916) 773-6565
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Dental Providers / General Practice | 1223G0001X | 37975 | California |
Dental Providers / Pediatric Dentistry | 1223P0221X | 37753 | California |
Profile Details
NPI number | 1548413289 |
---|---|
LBN Legal business name | Weideman-Tse Dental Corporation |
DBA Doing business as | Smile Island Pediatric & Adult Dental Group |
Authorized official | Tse, Kelvin A Doctor of Dental Surgery (DDS) |
Entity | Organization |
Organization subpart 1 | No |
Enumeration date | Oct 28th, 2008 |
Last updated | Oct 28th, 2008 - about 16 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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