Willmar Dental Clinic

LBN: Willmar Dental Clinic
Willmar Dental Clinic is an health care organization with primary practice located at 1801 Technology Dr Ne , Willmar MN 56201. The organization recently has only one registered license in Dental Providers / Dental Public Health, which is considered as the primary health care specialty. Willmar Dental Clinic can be contacted via phone (320) 231-5100, or through Alabi, Victoria O via phone (651) 478-8002.

Contact Information

Primary practice address
1801 Technology Dr Ne Willmar MN 56201
Phone: (320) 231-5100
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Alabi, Victoria O
Phone: (651) 478-8002

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dental Public Health 1223D0001X

Profile Details

NPI number 1811033061
LBN Legal business name Willmar Dental Clinic
DBA Doing business as
Authorized official Alabi, Victoria O
Entity Organization
Organization subpart 1 No
Enumeration date Jan 29th, 2007
Last updated Sep 4th, 2019 - about 6 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 1811033061 NPPES
Minnesota MEDICAID 243833000

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