A Street Dental Clinic

LBN: A Street Dental Clinic
A Street Dental Clinic is an health care organization with primary practice located at 902 A St Se Suite A, Auburn WA 98002-6056. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. A Street Dental Clinic can be contacted via phone (253) 288-9608, or through Leung, Kevin C via phone (253) 288-9608.

Contact Information

Primary practice address
902 A St Se Suite A Auburn WA 98002-6056
Phone: (253) 288-9608
Fax: (253) 288-9631
Website:
Map and Directions
Authorized official contact:
Name: Leung, Kevin C Doctor of Dental Surgery (DDS)
Phone: (253) 288-9608

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 9810 Washington

Profile Details

NPI number 1083799068
LBN Legal business name A Street Dental Clinic
DBA Doing business as
Authorized official Leung, Kevin C Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 26th, 2006
Last updated Aug 22nd, 2020 - 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 1083799068 NPPES
Washington MEDICAID 5040621

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