1St Dental, Llc

LBN: 1St Dental, Llc
1St Dental, Llc is an health care organization with primary practice located at 313 S 40Th Ave , Hattiesburg MS 39402-1734. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. 1St Dental, Llc can be contacted via phone (601) 264-5100, or through Daho, Joseph J via phone (601) 264-5100.

Contact Information

Primary practice address
313 S 40Th Ave Hattiesburg MS 39402-1734
Phone: (601) 264-5100
Fax: (601) 264-6669
Website:
Map and Directions
Authorized official contact:
Name: Daho, Joseph J Doctor of Dental Surgery (DDS)
Phone: (601) 264-5100

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X Mississippi

Profile Details

NPI number 1740642834
LBN Legal business name 1St Dental, Llc
DBA Doing business as
Authorized official Daho, Joseph J Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 28th, 2016
Last updated Mar 28th, 2016 - about 8 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1740642834 NPPES
Mississippi MEDICAID 06680271

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