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:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| 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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