Guided Smiles Prosthodontics & Implant Center Pllc

LBN: Guided Smiles Prosthodontics & Implant Center Pllc
Guided Smiles Prosthodontics & Implant Center Pllc is an health care organization with primary practice located at 153 Fort Wade Road Ste 100, Ponte Vedra FL 32081. The organization recently has only one registered license in Ambulatory Health Care Facilities / Dental, which is considered as the primary health care specialty. Guided Smiles Prosthodontics & Implant Center Pllc can be contacted via phone (904) 395-5501, or through Blackmon, Alonzo Carlos via phone (904) 395-5501.

Contact Information

Primary practice address
153 Fort Wade Road Ste 100 Ponte Vedra FL 32081
Phone: (904) 395-5501
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Blackmon, Alonzo Carlos Doctor of Dental Surgery (DDS)
Phone: (904) 395-5501

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Dental 261QD0000X

Profile Details

NPI number 1114641339
LBN Legal business name Guided Smiles Prosthodontics & Implant Center Pllc
DBA Doing business as
Authorized official Blackmon, Alonzo Carlos Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 30th, 2022
Last updated Sep 30th, 2022 - about 2 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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