Charlottesville Oral Surgery And Dental Implant Center, Llc
LBN: Charlottesville Oral Surgery And Dental Implant Center, Llc
Charlottesville Oral Surgery And Dental Implant Center, Llc is an health care organization with primary practice located at 1415 Rolkin Ct Ste 101 , Charlottesville VA 22911-3643. The organization recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as the primary health care specialty.
Charlottesville Oral Surgery And Dental Implant Center, Llc can be contacted via phone (434) 295-0911, or through Ibanez, Carlos via phone (434) 823-7711.
Contact Information
Primary practice address
1415 Rolkin Ct Ste 101
Charlottesville VA 22911-3643
Phone: (434) 295-0911
Fax:
Website:
Authorized official contact:
Name: Ibanez, Carlos Doctor of Dental Surgery (DDS)
Phone: (434) 823-7711
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | 0438000261 | Virginia |
Profile Details
| NPI number | 1972740454 |
|---|---|
| LBN Legal business name | Charlottesville Oral Surgery And Dental Implant Center, Llc |
| DBA Doing business as | |
| Authorized official | Ibanez, Carlos Doctor of Dental Surgery (DDS) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jan 20th, 2009 |
| Last updated | Nov 14th, 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 | 1972740454 | NPPES |
| New York | MEDICAID | 2105438 |
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