Carlson Dental Group Providers, Llc

LBN: Carlson Dental Group Providers, Llc
Carlson Dental Group Providers, Llc is an health care organization with primary practice located at 13241 Bartram Park Blvd Bldg 1700, Jacksonville FL 32258-5212. The organization recently has 2 registered licenses in different health care specialties including Dental Providers / General Practice, Dental Providers / Oral and Maxillofacial Surgery. Dental Providers / General Practice is the primary health care specialty. Carlson Dental Group Providers, Llc can be contacted via phone (904) 262-8409, or through Carlson, Richard Dean via phone (904) 262-8409.

Contact Information

Primary practice address
13241 Bartram Park Blvd Bldg 1700 Jacksonville FL 32258-5212
Phone: (904) 262-8409
Fax: (904) 262-4012
Website:
Map and Directions
Authorized official contact:
Name: Carlson, Richard Dean Doctor of Dental Medicine (DMD)
Phone: (904) 262-8409

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X DN19024 Florida
Dental Providers / General Practice 1223G0001X DN20275 Florida
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X DN18532 Florida

Profile Details

NPI number 1265867691
LBN Legal business name Carlson Dental Group Providers, Llc
DBA Doing business as
Authorized official Carlson, Richard Dean Doctor of Dental Medicine (DMD)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 4th, 2013
Last updated Sep 4th, 2013 - about 11 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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