Lakeview Dental Clinic

LBN: Lakeview Dental Clinic
Lakeview Dental Clinic is an health care organization with primary practice located at 603 Bemidji Ave N , Bemidji MN 56601-3015. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Lakeview Dental Clinic can be contacted via phone (218) 751-4523, or through Webb, Angie Faye via phone (218) 751-4523.

Contact Information

Primary practice address
603 Bemidji Ave N Bemidji MN 56601-3015
Phone: (218) 751-4523
Fax: (218) 751-0285
Website:
Map and Directions
Authorized official contact:
Name: Webb, Angie Faye
Phone: (218) 751-4523

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 8362 Minnesota
Dental Providers / General Practice 1223G0001X 10118 Minnesota

Profile Details

NPI number 1750610721
LBN Legal business name Lakeview Dental Clinic
DBA Doing business as
Authorized official Webb, Angie Faye
Entity Organization
Organization subpart 1 No
Enumeration date Dec 21st, 2009
Last updated Dec 21st, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1750610721 NPPES
Minnesota MEDICAID 1962575043
Minnesota MEDICAID 1821161910

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