New Creation Dental Care

LBN: Wildhorse Dental Care, Llc
New Creation Dental Care is an health care organization with primary practice located at 191 Civic Center Dr , Lake St Louis MO 63367-3027. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Wildhorse Dental Care, Llc can be contacted via phone (636) 561-6400, or through Boscia, Matthew via phone (636) 561-6400.

Contact Information

Primary practice address
191 Civic Center Dr Lake St Louis MO 63367-3027
Phone: (636) 561-6400
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Boscia, Matthew Doctor of Dental Medicine (DMD)
Phone: (636) 561-6400

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X

Profile Details

NPI number 1194322990
LBN Legal business name Wildhorse Dental Care, Llc
DBA Doing business as New Creation Dental Care
Authorized official Boscia, Matthew Doctor of Dental Medicine (DMD)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 5th, 2020
Last updated Jul 13th, 2021 - 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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