James L. Derrico Dds Llc

LBN: James L. Derrico Dds Llc
James L. Derrico Dds Llc is an health care organization with primary practice located at 1130 S Hwy 89 , Jackson WY 83001-8512. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Dental, Suppliers / Customized Equipment. Suppliers / Customized Equipment is the primary health care specialty. James L. Derrico Dds Llc can be contacted via phone (307) 200-6644, or through Derrico, James L via phone (630) 399-7367.

Contact Information

Primary practice address
1130 S Hwy 89 Jackson WY 83001-8512
Phone: (307) 200-6644
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Derrico, James L Doctor of Dental Surgery (DDS)
Phone: (630) 399-7367

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Dental 261QD0000X
Suppliers / Customized Equipment 332BC3200X

Profile Details

NPI number 1235700014
LBN Legal business name James L. Derrico Dds Llc
DBA Doing business as
Authorized official Derrico, James L Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 2nd, 2021
Last updated Aug 3rd, 2023 - about 3 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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