Abc Dentistry

LBN: Abc Dentistry
Abc Dentistry is an health care organization with primary practice located at 22625 Pacific Hwy S , Des Moines WA 98198-5110. The organization recently has only one registered license in Managed Care Organizations / Preferred Provider Organization, which is considered as the primary health care specialty. Abc Dentistry can be contacted via phone (206) 878-5665, or through Hoang, Luc via phone (206) 878-5665.

Contact Information

Primary practice address
22625 Pacific Hwy S Des Moines WA 98198-5110
Phone: (206) 878-5665
Fax: (206) 870-1504
Website:
Map and Directions
Authorized official contact:
Name: Hoang, Luc
Phone: (206) 878-5665

Health care specialties

SpecialtyCodeLicense #State
Managed Care Organizations / Preferred Provider Organization 305R00000X 2855 Washington

Profile Details

NPI number 1639393309
LBN Legal business name Abc Dentistry
DBA Doing business as
Authorized official Hoang, Luc
Entity Organization
Organization subpart 1 No
Enumeration date Apr 12th, 2007
Last updated Aug 22nd, 2020 - about 5 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 1639393309 NPPES
Washington MEDICAID 5040043

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