Bluewave Dentistry

LBN: Bluewave Dentistry
Bluewave Dentistry is an health care organization with primary practice located at 1300 S Dickinson Dr , Leland NC 28451-6430. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Bluewave Dentistry can be contacted via phone (910) 383-2615, or through Davis, Kelly via phone (910) 383-2615.

Contact Information

Primary practice address
1300 S Dickinson Dr Leland NC 28451-6430
Phone: (910) 383-2615
Fax: (910) 383-2618
Website:
Map and Directions
Authorized official contact:
Name: Davis, Kelly
Phone: (910) 383-2615

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 8379 North Carolina

Profile Details

NPI number 1124517719
LBN Legal business name Bluewave Dentistry
DBA Doing business as
Authorized official Davis, Kelly
Entity Organization
Organization subpart 1 No
Enumeration date May 9th, 2018
Last updated May 9th, 2018 - about 6 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 1124517719 NPPES
North Carolina Other 7812 NC STATE BOARD OF DENTAL EXAMINERS
North Carolina Other 8379 NC STATE BOARD OF DENTAL EXAMINERS

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