Northside Dental Clinic

LBN: Northside Dental L.L.C.
Northside Dental Clinic is an health care organization with primary practice located at 2105 W Kearney St Suite A, Springfield MO 65803-1652. The organization recently has only one registered license in Ambulatory Health Care Facilities / Dental, which is considered as the primary health care specialty. Northside Dental L.L.C. can be contacted via phone (417) 862-2468, or through Dds, Derek Kaelin, via phone (417) 862-2468.

Contact Information

Primary practice address
2105 W Kearney St Suite A Springfield MO 65803-1652
Phone: (417) 862-2468
Fax: (417) 863-6775
Website:
Map and Directions
Authorized official contact:
Name: Dds, Derek Kaelin, Doctor of Dental Surgery (DDS)
Phone: (417) 862-2468

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Dental 261QD0000X 2003017125 Missouri

Profile Details

NPI number 1922401793
LBN Legal business name Northside Dental L.L.C.
DBA Doing business as Northside Dental Clinic
Authorized official Dds, Derek Kaelin, Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 7th, 2014
Last updated Oct 7th, 2014 - about 11 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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