Cobblestone Family Dental, Pllc

LBN: Cobblestone Family Dental, Pllc
Cobblestone Family Dental, Pllc is an health care organization with primary practice located at 14938 Pines Blvd , Pembroke Pines FL 33027-1213. The organization recently has only one registered license in Ambulatory Health Care Facilities / Dental, which is considered as the primary health care specialty. Cobblestone Family Dental, Pllc can be contacted via phone (954) 433-2099, or through Tomalty, Jordan via phone (561) 633-9676.

Contact Information

Primary practice address
14938 Pines Blvd Pembroke Pines FL 33027-1213
Phone: (954) 433-2099
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Tomalty, Jordan Doctor of Dental Surgery (DDS)
Phone: (561) 633-9676

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Dental 261QD0000X

Profile Details

NPI number 1508596099
LBN Legal business name Cobblestone Family Dental, Pllc
DBA Doing business as
Authorized official Tomalty, Jordan Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 16th, 2022
Last updated Jun 20th, 2022 - about 2 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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Identifiers

StateTypeNumberIssuer
All States NPI 1508596099 NPPES
Other NA DENTAL

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