Custom Dental Of Ottawa, Pa

LBN: Custom Dental Of Ottawa, Pa
Custom Dental Of Ottawa, Pa is an health care organization with primary practice located at 2030 S Princeton St , Ottawa KS 66067. The organization recently has only one registered license in Ambulatory Health Care Facilities / Dental, which is considered as the primary health care specialty. Custom Dental Of Ottawa, Pa can be contacted via phone (785) 521-3737, or through Rodgers, Rene via phone (405) 227-6100.

Contact Information

Primary practice address
2030 S Princeton St Ottawa KS 66067
Phone: (785) 521-3737
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Rodgers, Rene
Phone: (405) 227-6100

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Dental 261QD0000X

Profile Details

NPI number 1508419938
LBN Legal business name Custom Dental Of Ottawa, Pa
DBA Doing business as
Authorized official Rodgers, Rene
Entity Organization
Organization subpart 1 No
Enumeration date Jul 24th, 2019
Last updated Sep 8th, 2021 - about 5 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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