Hickory Hills Dental Care

LBN: Bruce D. Evans
Hickory Hills Dental Care is an health care organization with primary practice located at 1947 Florence Blvd , Florence AL 35630-2729. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Bruce D. Evans can be contacted via phone (256) 766-8800, or through Evans, Stacey L via phone (256) 766-8800.

Contact Information

Primary practice address
1947 Florence Blvd Florence AL 35630-2729
Phone: (256) 766-8800
Fax: (256) 766-8936
Website:
Map and Directions
Authorized official contact:
Name: Evans, Stacey L
Phone: (256) 766-8800

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 3415 Alabama

Profile Details

NPI number 1932467297
LBN Legal business name Bruce D. Evans
DBA Doing business as Hickory Hills Dental Care
Authorized official Evans, Stacey L
Entity Organization
Organization subpart 1 No
Enumeration date Apr 24th, 2012
Last updated Apr 24th, 2012 - 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 1932467297 NPPES
Other 0843054 UNITED CONCORDIA
Other 515-38965 UNITED CONCORDIA
MEDICAID 009947460 UNITED CONCORDIA

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