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Contact Information

LAKEHAVEN DENTAL P.C
200 E 3RD STREET
GROVE, OK74344
 Phone: 918-787-7900
 Fax: 918-787-5871
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
Indicates primary specialty

NPI Profile & details for LAKEHAVEN DENTAL P.C

NPI Number 1215152608
LBN Legal business name LAKEHAVEN DENTAL P.C
Authorized official STEFAN HACKER - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 04/13/2007
Last updated 11/03/2015 - About 11 years ago
Identifiers
OK Medicaid 200253590A
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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