<Unavail>
LBN: Northlake Dental Llc
<Unavail> is an health care organization with primary practice located at 2030 N Causeway Blvd , Mandeville LA 70471-3116. The organization recently has 2 registered licenses in different health care specialties including Dental Providers / General Practice, Ambulatory Health Care Facilities / Dental. Dental Providers / General Practice is the primary health care specialty.
Northlake Dental Llc can be contacted via phone (985) 626-3338, or through Allison, Patrick Shannon via phone (985) 626-3338.
Contact Information
Primary practice address
2030 N Causeway Blvd
Mandeville LA 70471-3116
Phone: (985) 626-3338
Fax: (985) 626-3318
Website:
Authorized official contact:
Name: Allison, Patrick Shannon Doctor of Dental Surgery (DDS)
Phone: (985) 626-3338
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | ||
| Ambulatory Health Care Facilities / Dental | 261QD0000X |
Profile Details
| NPI number | 1922266576 |
|---|---|
| LBN Legal business name | Northlake Dental Llc |
| DBA Doing business as | <Unavail> |
| Authorized official | Allison, Patrick Shannon Doctor of Dental Surgery (DDS) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | May 30th, 2008 |
| Last updated | Jul 31st, 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 | 1922266576 | NPPES |
| Louisiana | Other | A2169 | BLUE CROSS BLUE SHIELD |
| Louisiana | Other | H2632 | BLUE CROSS BLUE SHIELD |
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