Dentilife Four Pa

LBN: Dentilife Four Pa
Dentilife Four Pa is an health care organization with primary practice located at 5473 N State Road 7 , Fort Lauderdale FL 33319-2954. The organization recently has only one registered license in Dental Providers / Dentist, which is considered as the primary health care specialty. Dentilife Four Pa can be contacted via phone (954) 486-7025, or through Ferradaz, Cinthya via phone (786) 899-1436.

Contact Information

Primary practice address
5473 N State Road 7 Fort Lauderdale FL 33319-2954
Fax:
Website:
Authorized official contact:
Name: Ferradaz, Cinthya

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X

Profile Details

NPI number 1891309514
LBN Legal business name Dentilife Four Pa
DBA Doing business as
Authorized official Ferradaz, Cinthya
Entity Organization
Organization subpart 1 No
Enumeration date Sep 1st, 2020
Last updated Sep 1st, 2020 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1891309514 NPPES
Florida MEDICAID 003823700

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