Family Dental Group Inc

LBN: Family Dental Group Inc
Family Dental Group Inc is an health care organization with primary practice located at 2727 W Dr Martin Luther King Jr Blvd Ste 120 , Tampa FL 33607-6353. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Family Dental Group Inc can be contacted via phone (813) 873-9100, or through Graddy, Nathan A via phone (813) 221-0010.

Contact Information

Primary practice address
2727 W Dr Martin Luther King Jr Blvd Ste 120 Tampa FL 33607-6353
Phone: (813) 873-9100
Fax: (813) 873-9176
Website:
Map and Directions
Authorized official contact:
Name: Graddy, Nathan A Doctor of Dental Surgery (DDS)
Phone: (813) 221-0010

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X DN4964 Florida

Profile Details

NPI number 1790825289
LBN Legal business name Family Dental Group Inc
DBA Doing business as
Authorized official Graddy, Nathan A Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 Yes
Enumeration date Feb 7th, 2007
Last updated Dec 1st, 2011 - 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 1790825289 NPPES
Florida MEDICAID 072704100

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