Cardinal Oral & Maxillofacial Surgery Associates
LBN: Cardinal Oral & Maxillofacial Surgery Associates
Cardinal Oral & Maxillofacial Surgery Associates is an health care organization with primary practice located at 870 Dunlawton Ave Suite 210, Port Orange FL 32127-9274. The organization recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as the primary health care specialty.
Cardinal Oral & Maxillofacial Surgery Associates can be contacted via phone (386) 756-2580, or through Hate, Sameer N. via phone (386) 756-2580.
Contact Information
Primary practice address
870 Dunlawton Ave Suite 210
Port Orange FL 32127-9274
Phone: (386) 756-2580
Fax: (386) 756-2333
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | DN15831 | Florida |
Profile Details
| NPI number | 1114462496 |
|---|---|
| LBN Legal business name | Cardinal Oral & Maxillofacial Surgery Associates |
| DBA Doing business as | |
| Authorized official | Hate, Sameer N. DMD, MS |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Dec 22nd, 2016 |
| Last updated | Dec 22nd, 2016 - about 8 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 | 1114462496 | NPPES |
| Florida | Other | 67275 | BLUE CROSS BLUE SHIELD |
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