Clear Lake Dental Llc

LBN: Clear Lake Dental Llc
Clear Lake Dental Llc is an health care organization with primary practice located at 210 3Rd Ave South , Clear Lake SD 57226. The organization recently has only one registered license in Ambulatory Health Care Facilities / Dental, which is considered as the primary health care specialty. Clear Lake Dental Llc can be contacted via phone (605) 874-2230, or through Prouty, Brian Kelly via phone (605) 874-2230.

Contact Information

Primary practice address
210 3Rd Ave South Clear Lake SD 57226
Phone: (605) 874-2230
Fax: (605) 874-2675
Website:
Map and Directions
Authorized official contact:
Name: Prouty, Brian Kelly Doctor of Dental Surgery (DDS)
Phone: (605) 874-2230

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Dental 261QD0000X

Profile Details

NPI number 1629436381
LBN Legal business name Clear Lake Dental Llc
DBA Doing business as
Authorized official Prouty, Brian Kelly Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 9th, 2016
Last updated Feb 9th, 2016 - about 10 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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