Disantis Prosthetics

LBN: Ivory Denture Care, Inc.
Disantis Prosthetics is an health care organization with primary practice located at 210 S 11Th Ave Suite #45, Yakima WA 98902-3293. The organization recently has only one registered license in Dental Providers / Denturist, which is considered as the primary health care specialty. Ivory Denture Care, Inc. can be contacted via phone (509) 454-2273, or through Disantis, William S. via phone (509) 454-2273.

Contact Information

Primary practice address
210 S 11Th Ave Suite #45 Yakima WA 98902-3293
Phone: (509) 454-2273
Fax: (509) 454-7901
Website:
Map and Directions
Authorized official contact:
Name: Disantis, William S. D.D.
Phone: (509) 454-2273

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Denturist 122400000X DN00000367 Washington

Profile Details

NPI number 1922164557
LBN Legal business name Ivory Denture Care, Inc.
DBA Doing business as Disantis Prosthetics
Authorized official Disantis, William S. D.D.
Entity Organization
Organization subpart 1 No
Enumeration date Dec 28th, 2006
Last updated Aug 22nd, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1922164557 NPPES
Washington MEDICAID 5048293
Washington Other DN00000367

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