Community Dental Care Inc

LBN: Community Dental Care Inc
Community Dental Care Inc is an health care organization with primary practice located at 828 Hawthorne Ave E , St. Paul MN 55106. The organization recently has only one registered license in Dental Providers / Dentist, which is considered as the primary health care specialty. Community Dental Care Inc can be contacted via phone (651) 774-2959, or through Peterson, Vacharee via phone (651) 925-8400.

Contact Information

Primary practice address
828 Hawthorne Ave E St. Paul MN 55106
Phone: (651) 774-2959
Fax: (651) 774-1997
Website:
Map and Directions
Authorized official contact:
Name: Peterson, Vacharee Doctor of Dental Surgery (DDS)
Phone: (651) 925-8400

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 460668000 Minnesota

Profile Details

NPI number 1003886383
LBN Legal business name Community Dental Care Inc
DBA Doing business as
Authorized official Peterson, Vacharee Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 26th, 2006
Last updated Jun 25th, 2014 - about 12 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 1003886383 NPPES
Minnesota MEDICAID 460668000

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