380 Dental Care Group Llc

LBN: 380 Dental Care Group Llc
380 Dental Care Group Llc is an health care organization with primary practice located at 380 Fairfield Rd , Fairfield NJ 07004-1934. The organization recently has only one registered license in Dental Providers / Dentist, which is considered as the primary health care specialty. 380 Dental Care Group Llc can be contacted via phone (973) 402-0595, or through Lau, Derek via phone (973) 402-0595.

Contact Information

Primary practice address
380 Fairfield Rd Fairfield NJ 07004-1934
Phone: (973) 402-0595
Fax: (973) 808-1177
Website:
Map and Directions
Authorized official contact:
Name: Lau, Derek Doctor of Dental Medicine (DMD)
Phone: (973) 402-0595

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X

Profile Details

NPI number 1205566114
LBN Legal business name 380 Dental Care Group Llc
DBA Doing business as
Authorized official Lau, Derek Doctor of Dental Medicine (DMD)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 14th, 2022
Last updated Jun 14th, 2022 - about 3 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 1205566114 NPPES
New Jersey Other 0000000 00000000

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