John Shea D.D.S. Llc

LBN: John Shea D.D.S. Llc
John Shea D.D.S. Llc is an health care organization with primary practice located at 615 10Th St S , La Crosse WI 54601-4768. The organization recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as the primary health care specialty. John Shea D.D.S. Llc can be contacted via phone (608) 782-4054, or through Shea, John V.E. via phone (608) 782-4054.

Contact Information

Primary practice address
615 10Th St S La Crosse WI 54601-4768
Phone: (608) 782-4054
Fax: (608) 782-2198
Website:
Map and Directions
Authorized official contact:
Name: Shea, John V.E. Doctor of Dental Surgery (DDS)
Phone: (608) 782-4054

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Pediatric Dentistry 1223P0221X Wisconsin

Profile Details

NPI number 1942470331
LBN Legal business name John Shea D.D.S. Llc
DBA Doing business as
Authorized official Shea, John V.E. Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 3rd, 2008
Last updated Mar 3rd, 2008 - about 18 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 1942470331 NPPES
Wisconsin MEDICAID 33463300

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