Southside Dental At Tinseltown

LBN: Amando Dental Corporation
Southside Dental At Tinseltown is an health care organization with primary practice located at 4540 Southside Blvd Suite 801, Jacksonville FL 32216-5492. The organization recently has only one registered license in Managed Care Organizations / Preferred Provider Organization, which is considered as the primary health care specialty. Amando Dental Corporation can be contacted via phone (904) 642-2010, or through Less, Crystal L via phone (904) 998-7000.

Contact Information

Primary practice address
4540 Southside Blvd Suite 801 Jacksonville FL 32216-5492
Phone: (904) 642-2010
Fax: (904) 642-8282
Website:
Map and Directions
Authorized official contact:
Name: Less, Crystal L
Phone: (904) 998-7000

Health care specialties

SpecialtyCodeLicense #State
Managed Care Organizations / Preferred Provider Organization 305R00000X DN15716 Florida

Profile Details

NPI number 1275739237
LBN Legal business name Amando Dental Corporation
DBA Doing business as Southside Dental At Tinseltown
Authorized official Less, Crystal L
Entity Organization
Organization subpart 1 No
Enumeration date Jun 26th, 2007
Last updated Jan 26th, 2015 - about 9 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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