Lakehaven Dental P.C

LBN: Lakehaven Dental P.C
Lakehaven Dental P.C is an health care organization with primary practice located at 200 E 3Rd Street , Grove OK 74344. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Lakehaven Dental P.C can be contacted via phone (918) 787-7900, or through Hacker, Stefan S via phone (918) 787-7900.

Contact Information

Primary practice address
200 E 3Rd Street Grove OK 74344
Phone: (918) 787-7900
Fax: (918) 787-5871
Website:
Map and Directions
Authorized official contact:
Name: Hacker, Stefan S Doctor of Dental Surgery (DDS)
Phone: (918) 787-7900

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X

Profile Details

NPI number 1215152608
LBN Legal business name Lakehaven Dental P.C
DBA Doing business as
Authorized official Hacker, Stefan S Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 13th, 2007
Last updated Nov 3rd, 2015 - about 11 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 1215152608 NPPES
Oklahoma MEDICAID 200253590A

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