Great River Oral And Maxillofacial Surgery Pc

LBN: Great River Oral And Maxillofacial Surgery Pc
Great River Oral And Maxillofacial Surgery Pc is an health care organization with primary practice located at 100 Bryant St , Dubuque IA 52003-7405. The organization recently has only one registered license in Ambulatory Health Care Facilities / Oral and Maxillofacial Surgery, which is considered as the primary health care specialty. Great River Oral And Maxillofacial Surgery Pc can be contacted via phone (563) 557-1440, or through Williams, Thomas P via phone (563) 557-1440.

Contact Information

Primary practice address
100 Bryant St Dubuque IA 52003-7405
Phone: (563) 557-1440
Fax: (563) 557-7001
Website:
Map and Directions
Authorized official contact:
Name: Williams, Thomas P Doctor of Dental Surgery (DDS)
Phone: (563) 557-1440

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Oral and Maxillofacial Surgery 261QS0112X

Profile Details

NPI number 1992799811
LBN Legal business name Great River Oral And Maxillofacial Surgery Pc
DBA Doing business as
Authorized official Williams, Thomas P Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 7th, 2005
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.

Request for update

Popular Providers