William J. Pavlisin, D.D.S., P.C.
LBN: William J. Pavlisin, D.D.S., P.C.
William J. Pavlisin, D.D.S., P.C. is an health care organization with primary practice located at 9021 Gravois Rd , Saint Louis MO 63123-4625. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Clinic/Center, Ambulatory Health Care Facilities / Dental. Ambulatory Health Care Facilities / Dental is the primary health care specialty.
William J. Pavlisin, D.D.S., P.C. can be contacted via phone (314) 481-5150, or through Pavlisin, William John via phone (314) 481-5150.
Contact Information
Primary practice address
9021 Gravois Rd
Saint Louis MO 63123-4625
Phone: (314) 481-5150
Fax: (314) 481-5150
Website:
Authorized official contact:
Name: Pavlisin, William John Doctor of Dental Surgery (DDS)
Phone: (314) 481-5150
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Clinic/Center | 261Q00000X | ||
| Ambulatory Health Care Facilities / Dental | 261QD0000X |
Profile Details
| NPI number | 1912471921 |
|---|---|
| LBN Legal business name | William J. Pavlisin, D.D.S., P.C. |
| DBA Doing business as | |
| Authorized official | Pavlisin, William John Doctor of Dental Surgery (DDS) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jan 14th, 2019 |
| Last updated | Jan 14th, 2019 - about 7 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1912471921 | NPPES |
| Other | 13525144 | CAQH |
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