352-Dentist, Pa

LBN: 352-Dentist, Pa
352-Dentist, Pa is an health care organization with primary practice located at 809 Highway 466 Ste C-102 , Lady Lake FL 32159-3909. The organization recently has only one registered license in Ambulatory Health Care Facilities / Dental, which is considered as the primary health care specialty. 352-Dentist, Pa can be contacted via phone (352) 336-8478, or through German, Igor via phone (352) 336-8478.

Contact Information

Primary practice address
809 Highway 466 Ste C-102 Lady Lake FL 32159-3909
Phone: (352) 336-8478
Fax:
Website:
Map and Directions
Authorized official contact:
Name: German, Igor Doctor of Dental Medicine (DMD)
Phone: (352) 336-8478

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Dental 261QD0000X

Profile Details

NPI number 1487496337
LBN Legal business name 352-Dentist, Pa
DBA Doing business as
Authorized official German, Igor Doctor of Dental Medicine (DMD)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 11th, 2024
Last updated Jun 11th, 2024 - about 2 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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