Northside Dental Clinic

LBN: Derek R. Kaelin, D.D.S, Llc
Northside Dental Clinic is an health care organization with primary practice located at 2105 W Kearney St Ste A , Springfield MO 65803-1666. The organization recently has only one registered license in Ambulatory Health Care Facilities / Dental, which is considered as the primary health care specialty. Derek R. Kaelin, D.D.S, Llc can be contacted via phone (417) 862-2468, or through Kaelin, Derek R via phone (417) 862-2468.

Contact Information

Primary practice address
2105 W Kearney St Ste A Springfield MO 65803-1666
Phone: (417) 862-2468
Fax: (417) 863-6775
Website:
Map and Directions
Authorized official contact:
Name: Kaelin, Derek R Doctor of Dental Surgery (DDS)
Phone: (417) 862-2468

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Dental 261QD0000X 2003017125 Missouri

Profile Details

NPI number 1295030203
LBN Legal business name Derek R. Kaelin, D.D.S, Llc
DBA Doing business as Northside Dental Clinic
Authorized official Kaelin, Derek R Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 21st, 2011
Last updated Jan 21st, 2011 - about 14 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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