About Face Collaborative

LBN: Elmore Jr Dds Pllc
About Face Collaborative is an health care organization with primary practice located at 4414 Lake Boone Trl Ste 111 , Raleigh NC 27607-7514. The organization recently has 2 registered licenses in different health care specialties including Dental Providers / General Practice, Dental Providers / Pediatric Dentistry. Dental Providers / Pediatric Dentistry is the primary health care specialty. Elmore Jr Dds Pllc can be contacted via phone (804) 387-7002, or through Elmore, Jasmine R via phone (252) 916-5875.

Contact Information

Primary practice address
4414 Lake Boone Trl Ste 111 Raleigh NC 27607-7514
Phone: (804) 387-7002
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Elmore, Jasmine R DDS, CSOM
Phone: (252) 916-5875

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X
Dental Providers / Pediatric Dentistry 1223P0221X

Profile Details

NPI number 1093331209
LBN Legal business name Elmore Jr Dds Pllc
DBA Doing business as About Face Collaborative
Authorized official Elmore, Jasmine R DDS, CSOM
Entity Organization
Organization subpart 1 No
Enumeration date Jun 23rd, 2020
Last updated May 9th, 2023 - 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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