Bellefonte Family Dental Care, Psc

LBN: Bellefonte Family Dental Care, Psc
Bellefonte Family Dental Care, Psc is an health care organization with primary practice located at 1592 Diederich Blvd , Russell KY 41169-1676. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Bellefonte Family Dental Care, Psc can be contacted via phone (606) 836-9962, or through Dean, Lisa Renee via phone (606) 836-9962.

Contact Information

Primary practice address
1592 Diederich Blvd Russell KY 41169-1676
Phone: (606) 836-9962
Fax: (606) 836-4668
Website:
Map and Directions
Authorized official contact:
Name: Dean, Lisa Renee Doctor of Dental Medicine (DMD)
Phone: (606) 836-9962

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 6890 Kentucky

Profile Details

NPI number 1285910406
LBN Legal business name Bellefonte Family Dental Care, Psc
DBA Doing business as
Authorized official Dean, Lisa Renee Doctor of Dental Medicine (DMD)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 2nd, 2011
Last updated Nov 2nd, 2011 - about 14 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 1285910406 NPPES
Kentucky MEDICAID 60068905

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