Grandpa'S Dental Inc.

LBN: Grandpa'S Dental Inc.
Grandpa'S Dental Inc. is an health care organization with primary practice located at 777 North 500 West 201B, Provo UT 84601-1570. The organization recently has only one registered license in Dental Providers / Dentist, which is considered as the primary health care specialty. Grandpa'S Dental Inc. can be contacted via phone (801) 374-5100, or through Rodrigues, Abraham via phone (801) 374-5100.

Contact Information

Primary practice address
777 North 500 West 201B Provo UT 84601-1570
Phone: (801) 374-5100
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Rodrigues, Abraham
Phone: (801) 374-5100

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X

Profile Details

NPI number 1144422429
LBN Legal business name Grandpa'S Dental Inc.
DBA Doing business as
Authorized official Rodrigues, Abraham
Entity Organization
Organization subpart 1 No
Enumeration date May 31st, 2007
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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