Southworth Dental

LBN: Southworth Dental
Southworth Dental is an health care organization with primary practice located at 609 Jackson St , Wausau WI 54403-5550. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Southworth Dental can be contacted via phone (715) 842-1935, or through Kuble, Genie via phone (920) 450-0157.

Contact Information

Primary practice address
609 Jackson St Wausau WI 54403-5550
Phone: (715) 842-1935
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Kuble, Genie
Phone: (920) 450-0157

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X

Profile Details

NPI number 1699015974
LBN Legal business name Southworth Dental
DBA Doing business as
Authorized official Kuble, Genie
Entity Organization
Organization subpart 1 No
Enumeration date Feb 22nd, 2013
Last updated Feb 22nd, 2013 - about 13 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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