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Contact Information

LAKESHORE DENTAL SC
4725 PLANK ROAD
MANITOWOC, WI54220
 Phone: 920-682-7881
 Fax: 920-682-8690
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
Indicates primary specialty

NPI Profile & details for LAKESHORE DENTAL SC

NPI # 1134289044
LBN Legal business name LAKESHORE DENTAL SC
Authorized official MICHAEL ORCHEKOWSKI - (PARTNER OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 12/11/2006
Last updated 08/22/2020 - About 6 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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