River Valley Pediatric Dental Specialists

LBN: River Valley Pediatric Dental Specialists
River Valley Pediatric Dental Specialists is an health care organization with primary practice located at 425 W Prairie View Rd , Chippewa Falls WI 54729-3389. The organization recently has only one registered license in Ambulatory Health Care Facilities / Dental, which is considered as the primary health care specialty. River Valley Pediatric Dental Specialists can be contacted via phone (715) 726-1060, or through Christman, Rena J via phone (715) 726-1060.

Contact Information

Primary practice address
425 W Prairie View Rd Chippewa Falls WI 54729-3389
Phone: (715) 726-1060
Fax: (715) 726-1066
Website:
Map and Directions
Authorized official contact:
Name: Christman, Rena J Doctor of Dental Medicine (DMD)
Phone: (715) 726-1060

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Dental 261QD0000X 6936 Wisconsin

Profile Details

NPI number 1285046383
LBN Legal business name River Valley Pediatric Dental Specialists
DBA Doing business as
Authorized official Christman, Rena J Doctor of Dental Medicine (DMD)
Entity Organization
Organization subpart 1 No
Enumeration date May 22nd, 2014
Last updated May 22nd, 2014 - about 12 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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Identifiers

StateTypeNumberIssuer
All States NPI 1285046383 NPPES
Wisconsin MEDICAID 1689923898

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