Four Corners Family Dental Llc

LBN: Four Corners Family Dental Llc
Four Corners Family Dental Llc is an health care organization with primary practice located at 383 Canyonview Dr , Farmington NM 87401-8629. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Four Corners Family Dental Llc can be contacted via phone (505) 564-4470, or through Mann, Tyler Anthony via phone (505) 564-4470.

Contact Information

Primary practice address
383 Canyonview Dr Farmington NM 87401-8629
Phone: (505) 564-4470
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Mann, Tyler Anthony Doctor of Dental Surgery (DDS)
Phone: (505) 564-4470

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X

Profile Details

NPI number 1669795456
LBN Legal business name Four Corners Family Dental Llc
DBA Doing business as
Authorized official Mann, Tyler Anthony Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 8th, 2010
Last updated Mar 8th, 2010 - about 15 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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