Minichelli Dentistry, Inc.
LBN: Minichelli Dentistry, Inc.
Minichelli Dentistry, Inc. is an health care organization with primary practice located at 2606 Caughey Rd , Erie PA 16506-2148. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty.
Minichelli Dentistry, Inc. can be contacted via phone (814) 833-4393, or through Minichelli, Mark Richard via phone (814) 833-4393.
Contact Information
Primary practice address
2606 Caughey Rd
Erie PA 16506-2148
Phone: (814) 833-4393
Fax: (814) 838-0781
Website:
Authorized official contact:
Name: Minichelli, Mark Richard Doctor of Dental Medicine (DMD)
Phone: (814) 833-4393
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | DS027249L | Pennsylvania |
Profile Details
| NPI number | 1275677452 |
|---|---|
| LBN Legal business name | Minichelli Dentistry, Inc. |
| DBA Doing business as | |
| Authorized official | Minichelli, Mark Richard Doctor of Dental Medicine (DMD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Feb 19th, 2007 |
| 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1275677452 | NPPES |
| Pennsylvania | Other | 608515 | UCCI |
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