Children And Teen Dental Group Of Florida

LBN: Children And Teen Dental Group Of Florida
Children And Teen Dental Group Of Florida is an health care organization with primary practice located at 225 Imperial Blvd , Lakeland FL 33803-4612. The organization recently has only one registered license in Dental Providers / Dentist, which is considered as the primary health care specialty. Children And Teen Dental Group Of Florida can be contacted via phone (863) 644-4739, or through Smith, Brian via phone (770) 231-5348.

Contact Information

Primary practice address
225 Imperial Blvd Lakeland FL 33803-4612
Phone: (863) 644-4739
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Smith, Brian
Phone: (770) 231-5348

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X

Profile Details

NPI number 1982072633
LBN Legal business name Children And Teen Dental Group Of Florida
DBA Doing business as
Authorized official Smith, Brian
Entity Organization
Organization subpart 1 No
Enumeration date Sep 11th, 2015
Last updated Sep 17th, 2021 - about 4 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.

Request for update

Popular Providers