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LDENTAC

Dental Laboratory

A commercial laboratory specializing in the construction of dental appliances that conform to a dentist?s specifications including the construction of dentures (complete or partial), orthodontic appliances, bridgework, crowns, and inlays.

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Contact Information

LDENTAC
CMR 402
APO, AE  09227
 Phone: 314-493-4460
 Fax:
 Website:
 

Specialty

 Taxonomy Code Specialty Code Provider Type

Dental Laboratory

 292200000X
Indicates primary specialty

NPI Profile & details for LDENTAC

NPI Number 1194272203
LBN Legal business name LDENTAC
Authorized official EDDIE ANDERSON - (SR. LAB TECH)
Entity Organization
Organization subpart 1 No
Enumeration date 09/07/2016
Last updated 09/07/2016 - About 10 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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