904 Implants And Dentures Pllc

LBN: 904 Implants And Dentures Pllc
904 Implants And Dentures Pllc is an health care organization with primary practice located at 11645 Beach Blvd Ste 101 , Jacksonville FL 32246-8496. The organization recently has only one registered license in Ambulatory Health Care Facilities / Dental, which is considered as the primary health care specialty. 904 Implants And Dentures Pllc can be contacted via phone (904) 999-9000, or through Russell, William via phone (803) 665-6998.

Contact Information

Primary practice address
11645 Beach Blvd Ste 101 Jacksonville FL 32246-8496
Phone: (904) 999-9000
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Russell, William Doctor of Dental Medicine (DMD)
Phone: (803) 665-6998

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Dental 261QD0000X

Profile Details

NPI number 1700549136
LBN Legal business name 904 Implants And Dentures Pllc
DBA Doing business as
Authorized official Russell, William Doctor of Dental Medicine (DMD)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 21st, 2021
Last updated Oct 21st, 2021 - about 4 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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