Willmar Family Dentistry, P.A.
LBN: Willmar Family Dentistry, P.A.
Willmar Family Dentistry, P.A. is an health care organization with primary practice located at 1016 1St St S , Willmar MN 56201-3510. The organization recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / Dental Therapist. Dental Providers / Dentist is the primary health care specialty.
Willmar Family Dentistry, P.A. can be contacted via phone (320) 235-2010, or through Jorgenson, Peter via phone (320) 235-2010.
Contact Information
Primary practice address
1016 1St St S
Willmar MN 56201-3510
Phone: (320) 235-2010
Fax: (320) 235-7133
Website:
Authorized official contact:
Name: Jorgenson, Peter Doctor of Dental Surgery (DDS)
Phone: (320) 235-2010
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Dental Providers / Dentist | 122300000X | 9800 | Minnesota |
Dental Providers / Dental Therapist | 125J00000X | DT54 | Minnesota |
Profile Details
NPI number | 1205204674 |
---|---|
LBN Legal business name | Willmar Family Dentistry, P.A. |
DBA Doing business as | |
Authorized official | Jorgenson, Peter Doctor of Dental Surgery (DDS) |
Entity | Organization |
Organization subpart 1 | No |
Enumeration date | Sep 2nd, 2015 |
Last updated | Sep 2nd, 2015 - about 10 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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