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Contact Information

DR WILLIAM LEE HUSKEY DDS, VILLAGE GREEN DENTAL PROFESSIONALS, LLC
2150 WAPAKONETA AVE
SIDNEY, OH45365-1444
 Phone: 937-492-7080
 Fax: 937-492-7046
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
Indicates primary specialty

NPI Profile & details for DR WILLIAM LEE HUSKEY DDS, VILLAGE GREEN DENTAL PROFESSIONALS, LLC

NPI # 1699989038
LBN Legal business name DR WILLIAM LEE HUSKEY DDS, VILLAGE GREEN DENTAL PROFESSIONALS, LLC
Authorized official WILLIAM HUSKEY - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 05/09/2007
Last updated 08/22/2020 - About 4 years ago
Identifiers
OH License # 30-18974
OH Medicaid 0781079
Other 219583462026 CARESOURCE
Other 598741 DELTA INSURANCE
OH Other 341644055-00 WORKERS COMPENSATION
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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