Madison Lake Family Dental Care

LBN: Bulldog Adventures, Pllc
Madison Lake Family Dental Care is an health care organization with primary practice located at 516 Main St , Madison Lake MN 56063-2027. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Bulldog Adventures, Pllc can be contacted via phone (507) 243-3747, or through Kelly, Brandon J via phone (507) 382-0642.

Contact Information

Primary practice address
516 Main St Madison Lake MN 56063-2027
Phone: (507) 243-3747
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Kelly, Brandon J Doctor of Dental Surgery (DDS)
Phone: (507) 382-0642

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X D12709 Minnesota

Profile Details

NPI number 1235528233
LBN Legal business name Bulldog Adventures, Pllc
DBA Doing business as Madison Lake Family Dental Care
Authorized official Kelly, Brandon J Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 13th, 2015
Last updated Jan 13th, 2015 - about 11 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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