Pine Lake Dental

LBN: K Q Dental Pc
Pine Lake Dental is an health care organization with primary practice located at 2504 North Webb Rd , Grand Island NE 68803. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. K Q Dental Pc can be contacted via phone (308) 381-7077, or through Quincy, Edward E. via phone (402) 447-6042.

Contact Information

Primary practice address
2504 North Webb Rd Grand Island NE 68803
Fax: (308) 381-1345
Website:
Authorized official contact:
Name: Quincy, Edward E. Doctor of Dental Surgery (DDS)

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 5962 Nebraska
Dental Providers / General Practice 1223G0001X 5954 Nebraska
Dental Providers / General Practice 1223G0001X 3376 Nebraska
Dental Providers / General Practice 1223G0001X 5746 Nebraska
Dental Providers / General Practice 1223G0001X 3530 Nebraska
Dental Providers / General Practice 1223G0001X 6365 Nebraska
Dental Providers / General Practice 1223G0001X 4543 Nebraska
Dental Providers / General Practice 1223G0001X 5343 Nebraska
Dental Providers / General Practice 1223G0001X 4467 Nebraska
Dental Providers / General Practice 1223G0001X 5838 Nebraska
Dental Providers / General Practice 1223G0001X 6759 Nebraska
Dental Providers / General Practice 1223G0001X 6834 Nebraska
Dental Providers / General Practice 1223G0001X 6837

Profile Details

NPI number 1194897058
LBN Legal business name K Q Dental Pc
DBA Doing business as Pine Lake Dental
Authorized official Quincy, Edward E. Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 15th, 2006
Last updated Jul 6th, 2009 - about 17 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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