Eagle Summit Dental Clinic, Inc

LBN: Eagle Summit Dental Clinic, Inc
Eagle Summit Dental Clinic, Inc is an health care organization with primary practice located at 1001 Eagle View Dr , Buffalo WY 82834-1422. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Eagle Summit Dental Clinic, Inc can be contacted via phone (307) 684-0119, or through Burridge, Monica via phone (307) 684-0119.

Contact Information

Primary practice address
1001 Eagle View Dr Buffalo WY 82834-1422
Fax: (307) 684-0120
Website:
Authorized official contact:
Name: Burridge, Monica

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X

Profile Details

NPI number 1457631558
LBN Legal business name Eagle Summit Dental Clinic, Inc
DBA Doing business as
Authorized official Burridge, Monica
Entity Organization
Organization subpart 1 No
Enumeration date Aug 19th, 2011
Last updated Aug 19th, 2011 - about 15 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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