Western Dental Services, Inc.

LBN: Western Dental Services, Inc.
Western Dental Services, Inc. is an health care organization with primary practice located at 1240 Farmers Ln , Santa Rosa CA 95405-6707. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Western Dental Services, Inc. can be contacted via phone (707) 542-5200, or through King, Marina via phone (714) 480-3000.

Contact Information

Primary practice address
1240 Farmers Ln Santa Rosa CA 95405-6707
Phone: (707) 542-5200
Fax: (707) 579-3207
Website:
Map and Directions
Authorized official contact:
Name: King, Marina
Phone: (714) 480-3000

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X

Profile Details

NPI number 1417009598
LBN Legal business name Western Dental Services, Inc.
DBA Doing business as
Authorized official King, Marina
Entity Organization
Organization subpart 1 No
Enumeration date Jan 17th, 2007
Last updated Aug 22nd, 2020 - about 4 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 1417009598 NPPES
California MEDICAID G90179-54

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