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Contact Information

ACACIA LANE DENTAL, S.C.
664 ACACIA LN
RHINELANDER, WI54501-2873
 Phone: 715-365-8664
 Fax: 715-365-8668
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
Indicates primary specialty

NPI Profile & details for ACACIA LANE DENTAL, S.C.

NPI Number 1609987288
LBN Legal business name ACACIA LANE DENTAL, S.C.
Authorized official GREGORY EDWARDS - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 08/31/2006
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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