Eccella Smiles Pa

LBN: Eccella Smiles Pa
Eccella Smiles Pa is an health care organization with primary practice located at 1400 Marsh Landing Pkwy Suite 104, Jacksonville Beach FL 32250-2493. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Eccella Smiles Pa can be contacted via phone (904) 834-3737, or through Wagner, William Scott via phone (904) 834-3737.

Contact Information

Primary practice address
1400 Marsh Landing Pkwy Suite 104 Jacksonville Beach FL 32250-2493
Phone: (904) 834-3737
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Wagner, William Scott DMD, PA
Phone: (904) 834-3737

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X DN14961 Florida

Profile Details

NPI number 1568852010
LBN Legal business name Eccella Smiles Pa
DBA Doing business as
Authorized official Wagner, William Scott DMD, PA
Entity Organization
Organization subpart 1 No
Enumeration date Feb 4th, 2015
Last updated Feb 4th, 2015 - about 10 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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