Decatur Dental, Llc

LBN: Decatur Dental, Llc
Decatur Dental, Llc is an health care organization with primary practice located at 68 Fourth Ave , Decatur MS 39327-9713. The organization recently has only one registered license in Ambulatory Health Care Facilities / Dental, which is considered as the primary health care specialty. Decatur Dental, Llc can be contacted via phone (601) 635-2340, or through Polles, Jim H via phone (601) 362-1118.

Contact Information

Primary practice address
68 Fourth Ave Decatur MS 39327-9713
Phone: (601) 635-2340
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Polles, Jim H DMD PA
Phone: (601) 362-1118

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Dental 261QD0000X 3402-06 Mississippi

Profile Details

NPI number 1073985925
LBN Legal business name Decatur Dental, Llc
DBA Doing business as
Authorized official Polles, Jim H DMD PA
Entity Organization
Organization subpart 1 No
Enumeration date Oct 30th, 2015
Last updated Oct 30th, 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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