Idlewild Family Dentistry

LBN: Idlewild Family Dentistry, Llc
Idlewild Family Dentistry is an health care organization with primary practice located at 4801 Indian Trail Fairview Rd , Indian Trail NC 28079-8865. The organization recently has 2 registered licenses in different health care specialties including Dental Providers / General Practice, Ambulatory Health Care Facilities / Sleep Disorder Diagnostic. Dental Providers / General Practice is the primary health care specialty. Idlewild Family Dentistry, Llc can be contacted via phone (704) 893-0351, or through Dhulab, Mitesh via phone (704) 893-0351.

Contact Information

Primary practice address
4801 Indian Trail Fairview Rd Indian Trail NC 28079-8865
Phone: (704) 893-0351
Fax: (704) 893-0354
Website:
Map and Directions
Authorized official contact:
Name: Dhulab, Mitesh Doctor of Dental Medicine (DMD)
Phone: (704) 893-0351

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X
Ambulatory Health Care Facilities / Sleep Disorder Diagnostic 261QS1200X

Profile Details

NPI number 1649783119
LBN Legal business name Idlewild Family Dentistry, Llc
DBA Doing business as Idlewild Family Dentistry
Authorized official Dhulab, Mitesh Doctor of Dental Medicine (DMD)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 7th, 2017
Last updated Nov 7th, 2017 - 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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