Vicksburg Orthodontics Llc

LBN: Vicksburg Orthodontics Llc
Vicksburg Orthodontics Llc is an health care organization with primary practice located at 1909A Mission 66 , Vicksburg MS 39180-3711. The organization recently has only one registered license in Dental Providers / Orthodontics and Dentofacial Orthopedics, which is considered as the primary health care specialty. Vicksburg Orthodontics Llc can be contacted via phone (601) 271-8710, or through Garner, Lake via phone (601) 271-8710.

Contact Information

Primary practice address
1909A Mission 66 Vicksburg MS 39180-3711
Phone: (601) 271-8710
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Garner, Lake
Phone: (601) 271-8710

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Orthodontics and Dentofacial Orthopedics 1223X0400X 2940-96 Mississippi

Profile Details

NPI number 1619370012
LBN Legal business name Vicksburg Orthodontics Llc
DBA Doing business as
Authorized official Garner, Lake
Entity Organization
Organization subpart 1 No
Enumeration date Sep 30th, 2014
Last updated Sep 30th, 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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