Conrad J Kusel Dds Pa

LBN: Conrad J Kusel Dds Pa
Conrad J Kusel Dds Pa is an health care organization with primary practice located at 491 Sw Port St Lucie Blvd , Port St Lucie FL 34953-2044. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Conrad J Kusel Dds Pa can be contacted via phone (772) 878-7525, or through Kusel, Conrad James via phone (772) 878-7525.

Contact Information

Primary practice address
491 Sw Port St Lucie Blvd Port St Lucie FL 34953-2044
Fax: (772) 340-1807
Website:
Authorized official contact:
Name: Kusel, Conrad James Doctor of Dental Surgery (DDS)

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X DN-0011106 Florida

Profile Details

NPI number 1215202502
LBN Legal business name Conrad J Kusel Dds Pa
DBA Doing business as
Authorized official Kusel, Conrad James Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 20th, 2012
Last updated Mar 20th, 2012 - about 13 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 1215202502 NPPES
Florida Other 1912113606 GENERAL DENTISTRY
Florida Other 1043426778 GENERAL DENTISTRY

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