Great Lakes Childrens Dental Care Pa

LBN: Great Lakes Childrens Dental Care Pa
Great Lakes Childrens Dental Care Pa is an health care organization with primary practice located at 2710 Piedmont Avenue , Duluth MN 55811. The organization recently has 2 registered licenses in different health care specialties including Dental Providers / Dental Public Health, Dental Providers / Pediatric Dentistry. Dental Providers / Dental Public Health is the primary health care specialty. Great Lakes Childrens Dental Care Pa can be contacted via phone (218) 525-5100, or through Guirguis, Rami M via phone (218) 525-5100.

Contact Information

Primary practice address
2710 Piedmont Avenue Duluth MN 55811
Phone: (218) 525-5100
Fax: (218) 722-3883
Website:
Map and Directions
Authorized official contact:
Name: Guirguis, Rami M DDS MS
Phone: (218) 525-5100

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dental Public Health 1223D0001X D11559 Minnesota
Dental Providers / Pediatric Dentistry 1223P0221X D10919 Minnesota

Profile Details

NPI number 1790795821
LBN Legal business name Great Lakes Childrens Dental Care Pa
DBA Doing business as
Authorized official Guirguis, Rami M DDS MS
Entity Organization
Organization subpart 1 No
Enumeration date Aug 9th, 2006
Last updated Aug 22nd, 2020 - 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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