Lilly Family Dentistry, P.C.

LBN: Lilly Family Dentistry, P.C.
Lilly Family Dentistry, P.C. is an health care organization with primary practice located at 2100 Indian Hills Dr , Sioux City IA 51104-1604. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Lilly Family Dentistry, P.C. can be contacted via phone (712) 239-5125, or through Lilly, Kevin R. via phone (712) 239-5125.

Contact Information

Primary practice address
2100 Indian Hills Dr Sioux City IA 51104-1604
Phone: (712) 239-5125
Fax: (712) 239-2275
Website:
Map and Directions
Authorized official contact:
Name: Lilly, Kevin R. Doctor of Dental Surgery (DDS)
Phone: (712) 239-5125

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 7577 Iowa

Profile Details

NPI number 1770661951
LBN Legal business name Lilly Family Dentistry, P.C.
DBA Doing business as
Authorized official Lilly, Kevin R. Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 2nd, 2006
Last updated Aug 22nd, 2020 - about 6 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 1770661951 NPPES
Iowa MEDICAID 1106369

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