Hickory St Llc

LBN: Hickory St Llc
Hickory St Llc is an health care organization with primary practice located at 637 Hickory St Nw Ste 110 , Albany OR 97321-1761. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Hickory St Llc can be contacted via phone (541) 406-3500, or through Flynn, Amanpreet via phone (541) 406-3500.

Contact Information

Primary practice address
637 Hickory St Nw Ste 110 Albany OR 97321-1761
Phone: (541) 406-3500
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Flynn, Amanpreet Doctor of Dental Surgery (DDS)
Phone: (541) 406-3500

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X

Profile Details

NPI number 1245860345
LBN Legal business name Hickory St Llc
DBA Doing business as
Authorized official Flynn, Amanpreet Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 17th, 2020
Last updated Jan 17th, 2020 - about 6 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

Identifiers

StateTypeNumberIssuer
All States NPI 1245860345 NPPES
Colorado MEDICAID 82673551
Colorado MEDICAID 1861621641
Colorado MEDICAID 130509300

Popular Providers