Fire Creek Dental

LBN: Fire Creek Dental
Fire Creek Dental is an health care organization with primary practice located at 1510 Willow Branch Ave , Jacksonville FL 32205-8118. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Fire Creek Dental can be contacted via phone (904) 387-3535, or through Shellman, Barbara via phone (904) 387-3535.

Contact Information

Primary practice address
1510 Willow Branch Ave Jacksonville FL 32205-8118
Phone: (904) 387-3535
Fax: (904) 389-1208
Website:
Map and Directions
Authorized official contact:
Name: Shellman, Barbara
Phone: (904) 387-3535

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 2333 Florida

Profile Details

NPI number 1265402119
LBN Legal business name Fire Creek Dental
DBA Doing business as
Authorized official Shellman, Barbara
Entity Organization
Organization subpart 1 No
Enumeration date Jan 24th, 2006
Last updated Aug 22nd, 2020 - about 5 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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