Park Dentistry Llc

LBN: Park Dentistry Llc
Park Dentistry Llc is an health care organization with primary practice located at 1947 S 60Th St , West Allis WI 53219-1552. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Park Dentistry Llc can be contacted via phone (414) 545-6747, or through Park, Joon Jae via phone (414) 545-6747.

Contact Information

Primary practice address
1947 S 60Th St West Allis WI 53219-1552
Phone: (414) 545-6747
Fax: (414) 545-2488
Website:
Map and Directions
Authorized official contact:
Name: Park, Joon Jae Doctor of Dental Surgery (DDS)
Phone: (414) 545-6747

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X

Profile Details

NPI number 1902566003
LBN Legal business name Park Dentistry Llc
DBA Doing business as
Authorized official Park, Joon Jae Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 30th, 2021
Last updated Dec 30th, 2021 - about 5 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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