Trimark Dental Clinic, Llp

LBN: Trimark Dental Clinic, Llp
Trimark Dental Clinic, Llp is an health care organization with primary practice located at 2130 Kennedy Rd , Janesville WI 53545-0887. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Trimark Dental Clinic, Llp can be contacted via phone (608) 752-7452, or through Lyons, Patricia Ann via phone (608) 752-7452.

Contact Information

Primary practice address
2130 Kennedy Rd Janesville WI 53545-0887
Phone: (608) 752-7452
Fax: (608) 752-4918
Website:
Map and Directions
Authorized official contact:
Name: Lyons, Patricia Ann Doctor of Dental Surgery (DDS)
Phone: (608) 752-7452

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 0004660 Wisconsin

Profile Details

NPI number 1366772204
LBN Legal business name Trimark Dental Clinic, Llp
DBA Doing business as
Authorized official Lyons, Patricia Ann Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 27th, 2009
Last updated Dec 27th, 2009 - about 17 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 1366772204 NPPES
Wisconsin MEDICAID 33369200
Wisconsin MEDICAID 33788200
Wisconsin MEDICAID 33752400

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