Florence Dental Clinic
LBN: Florence Dental Clinic
Florence Dental Clinic is an health care organization with primary practice located at 129 Earl Clark Drive , Florence MS 39073. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty.
Florence Dental Clinic can be contacted via phone (601) 845-2386, or through Byrd, Thomas R via phone (604) 845-2386.
Contact Information
Primary practice address
129 Earl Clark Drive
Florence MS 39073
Phone: (601) 845-2386
Fax: (601) 845-1470
Website:
Authorized official contact:
Name: Byrd, Thomas R Doctor of Dental Medicine (DMD)
Phone: (604) 845-2386
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Dental Providers / General Practice | 1223G0001X | 2401 | Mississippi |
Dental Providers / General Practice | 1223G0001X | 3182 | Mississippi |
Profile Details
NPI number | 1538330444 |
---|---|
LBN Legal business name | Florence Dental Clinic |
DBA Doing business as | |
Authorized official | Byrd, Thomas R Doctor of Dental Medicine (DMD) |
Entity | Organization |
Organization subpart 1 | No |
Enumeration date | Mar 19th, 2008 |
Last updated | Mar 19th, 2008 - about 16 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1538330444 | NPPES |
Mississippi | MEDICAID | 09015190 |
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