Banyan Dental Svc Psl, Llc

LBN: Banyan Dental Svc Psl, Llc
Banyan Dental Svc Psl, Llc is an health care organization with primary practice located at 1707 Nw St. Lucie W. Blvd #126, Port Saint Lucie FL 34986. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Banyan Dental Svc Psl, Llc can be contacted via phone (772) 344-3300, or through Thomas, Jade E. via phone (772) 344-3300.

Contact Information

Primary practice address
1707 Nw St. Lucie W. Blvd #126 Port Saint Lucie FL 34986
Phone: (772) 344-3300
Fax: (772) 344-3301
Website:
Map and Directions
Authorized official contact:
Name: Thomas, Jade E. Doctor of Dental Surgery (DDS)
Phone: (772) 344-3300

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X DN16485 Florida

Profile Details

NPI number 1740603380
LBN Legal business name Banyan Dental Svc Psl, Llc
DBA Doing business as
Authorized official Thomas, Jade E. Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 3rd, 2014
Last updated Feb 3rd, 2014 - about 10 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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