Diamond Trail Dental

LBN: Diamond Trail Dental Pc
Diamond Trail Dental is an health care organization with primary practice located at 301 S. 4Th St. , Montezuma IA 50171-1031. The organization recently has only one registered license in Ambulatory Health Care Facilities / Dental, which is considered as the primary health care specialty. Diamond Trail Dental Pc can be contacted via phone (641) 623-5100, or through Deboef, Eric Chad via phone (641) 673-3008.

Contact Information

Primary practice address
301 S. 4Th St. Montezuma IA 50171-1031
Phone: (641) 623-5100
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Deboef, Eric Chad Doctor of Dental Surgery (DDS)
Phone: (641) 673-3008

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Dental 261QD0000X

Profile Details

NPI number 1164761698
LBN Legal business name Diamond Trail Dental Pc
DBA Doing business as Diamond Trail Dental
Authorized official Deboef, Eric Chad Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 4th, 2013
Last updated Feb 4th, 2013 - about 13 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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