State Fair Dental Llc

LBN: State Fair Dental Llc
State Fair Dental Llc is an health care organization with primary practice located at 1806 W 5Th St , Sedalia MO 65301-2420. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. State Fair Dental Llc can be contacted via phone (972) 869-3789, or through Gaskins, Faith via phone (630) 877-3520.

Contact Information

Primary practice address
1806 W 5Th St Sedalia MO 65301-2420
Phone: (972) 869-3789
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Gaskins, Faith
Phone: (630) 877-3520

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X

Profile Details

NPI number 1326644600
LBN Legal business name State Fair Dental Llc
DBA Doing business as
Authorized official Gaskins, Faith
Entity Organization
Organization subpart 1 No
Enumeration date Dec 10th, 2020
Last updated Dec 10th, 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.

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