Agave Dental Bright Star Pllc
LBN: Agave Dental Bright Star Pllc
Agave Dental Bright Star Pllc is an health care organization with primary practice located at 2010 E Lohman Ave Ste A , Las Cruces NM 88001-3109. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty.
Agave Dental Bright Star Pllc can be contacted via phone (575) 526-4334, or through Williams, Jake via phone (385) 335-0928.
Contact Information
Primary practice address
2010 E Lohman Ave Ste A
Las Cruces NM 88001-3109
Phone: (575) 526-4334
Fax: (575) 526-7863
Website:
Authorized official contact:
Name: Williams, Jake Doctor of Dental Surgery (DDS)
Phone: (385) 335-0928
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X |
Profile Details
| NPI number | 1275230518 |
|---|---|
| LBN Legal business name | Agave Dental Bright Star Pllc |
| DBA Doing business as | |
| Authorized official | Williams, Jake Doctor of Dental Surgery (DDS) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Feb 7th, 2023 |
| Last updated | Feb 7th, 2023 - 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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