Dental Specialties 2Nd Dr, Jesse A Professional Corporation

LBN: Dental Specialties 2Nd Dr, Jesse A Professional Corporation
Dental Specialties 2Nd Dr, Jesse A Professional Corporation is an health care organization with primary practice located at 15401 Anacapa Rd Ste 3 , Victorville CA 92392-2466. The organization recently has only one registered license in Managed Care Organizations / Point of Service, which is considered as the primary health care specialty. Dental Specialties 2Nd Dr, Jesse A Professional Corporation can be contacted via phone (760) 951-9304, or through Jesse, James via phone (760) 951-9304.

Contact Information

Primary practice address
15401 Anacapa Rd Ste 3 Victorville CA 92392-2466
Phone: (760) 951-9304
Fax: (951) 396-3335
Website:
Map and Directions
Authorized official contact:
Name: Jesse, James
Phone: (760) 951-9304

Health care specialties

SpecialtyCodeLicense #State
Managed Care Organizations / Point of Service 305S00000X 23785 California

Profile Details

NPI number 1285179697
LBN Legal business name Dental Specialties 2Nd Dr, Jesse A Professional Corporation
DBA Doing business as
Authorized official Jesse, James
Entity Organization
Organization subpart 1 No
Enumeration date Dec 21st, 2016
Last updated Dec 21st, 2016 - about 8 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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