Grenada Dental Clinic Pllc

LBN: Grenada Dental Clinic Pllc
Grenada Dental Clinic Pllc is an health care organization with primary practice located at 1800 Hill Dr Ste A , Grenada MS 38901-5071. The organization recently has only one registered license in Ambulatory Health Care Facilities / Dental, which is considered as the primary health care specialty. Grenada Dental Clinic Pllc can be contacted via phone (662) 226-1757, or through Van Gordon, Olivia K via phone (662) 226-1757.

Contact Information

Primary practice address
1800 Hill Dr Ste A Grenada MS 38901-5071
Phone: (662) 226-1757
Fax: (662) 307-2709
Website:
Map and Directions
Authorized official contact:
Name: Van Gordon, Olivia K Doctor of Dental Medicine (DMD)
Phone: (662) 226-1757

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Dental 261QD0000X 3934-17 Mississippi

Profile Details

NPI number 1851886857
LBN Legal business name Grenada Dental Clinic Pllc
DBA Doing business as
Authorized official Van Gordon, Olivia K Doctor of Dental Medicine (DMD)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 22nd, 2018
Last updated Jun 22nd, 2018 - about 8 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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