Functional Facial Orthopedics

LBN: Functional Facial Orthopedics
Functional Facial Orthopedics is an health care organization with primary practice located at 13421 S Shore Blvd Suite 203, Wellington FL 33414-7210. The organization recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as the primary health care specialty. Functional Facial Orthopedics can be contacted via phone (561) 215-1603, or through Toledo, Nilsa H via phone (561) 215-1603.

Contact Information

Primary practice address
13421 S Shore Blvd Suite 203 Wellington FL 33414-7210
Phone: (561) 215-1603
Fax: (561) 537-5738
Website:
Map and Directions
Authorized official contact:
Name: Toledo, Nilsa H Doctor of Dental Medicine (DMD)
Phone: (561) 215-1603

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X

Profile Details

NPI number 1407207194
LBN Legal business name Functional Facial Orthopedics
DBA Doing business as
Authorized official Toledo, Nilsa H Doctor of Dental Medicine (DMD)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 24th, 2016
Last updated Jun 24th, 2016 - about 8 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 1407207194 NPPES
Florida Other D17401 MEDICAL LICENSE NUMBER
Florida MEDICAID 075862100 MEDICAL LICENSE NUMBER

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