Wicklund Dental,

LBN: Wicklund Dental,
Wicklund Dental, is an health care organization with primary practice located at 9723 Coppertop Loop Ne Ste 101, Bainbridge Island WA 98110-3699. The organization recently has only one registered license in Dental Providers / Dentist, which is considered as the primary health care specialty. Wicklund Dental, can be contacted via phone (206) 842-6624, or through Wicklund, Lance F via phone (206) 842-6624.

Contact Information

Primary practice address
9723 Coppertop Loop Ne Ste 101 Bainbridge Island WA 98110-3699
Phone: (206) 842-6624
Fax: (206) 780-5654
Website:
Map and Directions
Authorized official contact:
Name: Wicklund, Lance F Doctor of Dental Medicine (DMD)
Phone: (206) 842-6624

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X WA9320 Washington

Profile Details

NPI number 1194270702
LBN Legal business name Wicklund Dental,
DBA Doing business as
Authorized official Wicklund, Lance F Doctor of Dental Medicine (DMD)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 24th, 2016
Last updated Aug 24th, 2016 - about 8 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 1194270702 NPPES
Washington Other 1831267947 GENERAL DENTIST

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