Mcbride Dental Sc

LBN: Mcbride Dental Sc
Mcbride Dental Sc is an health care organization with primary practice located at 336 Harbor View Dr , Fond Du Lac WI 54935. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Mcbride Dental Sc can be contacted via phone (920) 922-9400, or through Mcbride, Timothy M via phone (920) 922-9400.

Contact Information

Primary practice address
336 Harbor View Dr Fond Du Lac WI 54935
Phone: (920) 922-9400
Fax: (920) 921-3260
Website:
Map and Directions
Authorized official contact:
Name: Mcbride, Timothy M Doctor of Dental Surgery (DDS)
Phone: (920) 922-9400

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X

Profile Details

NPI number 1073624326
LBN Legal business name Mcbride Dental Sc
DBA Doing business as
Authorized official Mcbride, Timothy M Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 31st, 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 1073624326 NPPES
Wisconsin MEDICAID 33490200

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