Provider Demographics
NPI:1093451072
Name:HONEY BEE PDC, LLC
Entity Type:Organization
Organization Name:HONEY BEE PDC, LLC
Other - Org Name:HONEY BEE DENTAL CO. PEDIATRIC DENTISTRY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:REBECCA
Authorized Official - Middle Name:JEANNE
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
Mailing Address - Street 2:
Mailing Address - City:LAWRENCE
Mailing Address - State:KS
Mailing Address - Zip Code:66049-4189
Mailing Address - Country:US
Mailing Address - Phone:314-882-2209
Mailing Address - Fax:
Practice Address - Street 1:4621 W 6TH ST
Practice Address - Street 2:
Practice Address - City:LAWRENCE
Practice Address - State:KS
Practice Address - Zip Code:66049-4189
Practice Address - Country:US
Practice Address - Phone:314-882-2209
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-05-11
Last Update Date:2022-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental