Mint Condition Dental
LBN: Mc-Nspk Llc
Mint Condition Dental is an health care organization with primary practice located at 5901 N. Lidgerwood Ste 233, Spokane WA 99208. The organization recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / General Practice. Dental Providers / General Practice is the primary health care specialty.
Mc-Nspk Llc can be contacted via phone (509) 489-4763, or through Gibbs, Marshall F via phone (509) 235-2900.
Contact Information
Primary practice address
5901 N. Lidgerwood Ste 233
Spokane WA 99208
Phone: (509) 489-4763
Fax: (509) 489-4767
Website:
Authorized official contact:
Name: Gibbs, Marshall F Doctor of Dental Surgery (DDS)
Phone: (509) 235-2900
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 60240234 | Washington |
| Dental Providers / General Practice | 1223G0001X | 8853 | Washington |
| Dental Providers / General Practice | 1223G0001X | 8440 | Washington |
Profile Details
| NPI number | 1164462487 |
|---|---|
| LBN Legal business name | Mc-Nspk Llc |
| DBA Doing business as | Mint Condition Dental |
| Authorized official | Gibbs, Marshall F Doctor of Dental Surgery (DDS) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jun 7th, 2006 |
| Last updated | Jun 28th, 2018 - about 8 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1164462487 | NPPES |
| Washington | MEDICAID | 5031968 |
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