Mobile Dental Northwest, Llc
LBN: Mobile Dental Northwest, Llc
Mobile Dental Northwest, Llc is an health care organization with primary practice located at 1622 S Mildred St Suite B, Tacoma WA 98465-1610. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty.
Mobile Dental Northwest, Llc can be contacted via phone (253) 432-4795, or through Fisher, Gregory Robert via phone (253) 432-4795.
Contact Information
Primary practice address
1622 S Mildred St Suite B
Tacoma WA 98465-1610
Phone: (253) 432-4795
Fax:
Website:
Authorized official contact:
Name: Fisher, Gregory Robert Doctor of Dental Surgery (DDS)
Phone: (253) 432-4795
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 4923 | Washington |
Profile Details
| NPI number | 1700148152 |
|---|---|
| LBN Legal business name | Mobile Dental Northwest, Llc |
| DBA Doing business as | |
| Authorized official | Fisher, Gregory Robert Doctor of Dental Surgery (DDS) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jun 12th, 2012 |
| Last updated | Jun 12th, 2012 - about 14 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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