Wilson Dental Clinic, Plc
LBN: Wilson Dental Clinic, Plc
Wilson Dental Clinic, Plc is an health care organization with primary practice located at 145 N Clark St , Forest City IA 50436-1615. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty.
Wilson Dental Clinic, Plc can be contacted via phone (641) 585-5431, or through Wilson, George Alan via phone (641) 585-5431.
Contact Information
Primary practice address
145 N Clark St
Forest City IA 50436-1615
Phone: (641) 585-5431
Fax: (641) 585-5435
Website:
Authorized official contact:
Name: Wilson, George Alan Doctor of Dental Surgery (DDS)
Phone: (641) 585-5431
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 5660 | Iowa |
| Dental Providers / General Practice | 1223G0001X | 7842 | Iowa |
Profile Details
| NPI number | 1164507489 |
|---|---|
| LBN Legal business name | Wilson Dental Clinic, Plc |
| DBA Doing business as | |
| Authorized official | Wilson, George Alan Doctor of Dental Surgery (DDS) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Oct 26th, 2006 |
| 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1164507489 | NPPES |
| Iowa | Other | 11965 | BC/BS OF IA FEDERAL PROGR |
| Iowa | MEDICAID | 0119651 | BC/BS OF IA FEDERAL PROGR |
| Iowa | MEDICAID | 0253963 | BC/BS OF IA FEDERAL PROGR |
| Iowa | Other | 48855 | BC/BS OF IA FEDERAL PROGR |
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