Fresh Wave Dental Care

LBN: Fresh Wave Dental Care
Fresh Wave Dental Care is an health care organization with primary practice located at 812 Boll Weevil Cir , Enterprise AL 36330-2079. The organization recently has only one registered license in Dental Providers / Dentist, which is considered as the primary health care specialty. Fresh Wave Dental Care can be contacted via phone (334) 347-9283, or through Hawn, Debbielee J via phone (334) 347-9283.

Contact Information

Primary practice address
812 Boll Weevil Cir Enterprise AL 36330-2079
Phone: (334) 347-9283
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Hawn, Debbielee J
Phone: (334) 347-9283

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 4810 Alabama

Profile Details

NPI number 1134392517
LBN Legal business name Fresh Wave Dental Care
DBA Doing business as
Authorized official Hawn, Debbielee J
Entity Organization
Organization subpart 1 No
Enumeration date Apr 8th, 2008
Last updated Apr 8th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1134392517 NPPES
Alabama Other 51027316 BLUE CROSS BLUE SHIELD

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