Provider Demographics
NPI:1063131282
Name:HONEY BEE PDC LAWRENCE LLC
Entity type:Organization
Organization Name:HONEY BEE PDC LAWRENCE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:REBECCA
Authorized Official - Middle Name:J
Authorized Official - Last Name:FERNS
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:314-882-2209
Mailing Address - Street 1:4621 W 6TH ST STE B
Mailing Address - Street 2:
Mailing Address - City:LAWRENCE
Mailing Address - State:KS
Mailing Address - Zip Code:66049-4358
Mailing Address - Country:US
Mailing Address - Phone:785-838-5650
Mailing Address - Fax:
Practice Address - Street 1:4621 W 6TH ST STE B
Practice Address - Street 2:
Practice Address - City:LAWRENCE
Practice Address - State:KS
Practice Address - Zip Code:66049-4358
Practice Address - Country:US
Practice Address - Phone:785-838-5650
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:HONEY BEE PEDIATRIC DENTAL CO LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2022-08-22
Last Update Date:2022-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223P0221XDental ProvidersDentistPediatric DentistryGroup - Single Specialty