Key West Dental Management Group Llc

LBN: Key West Dental Management Group Llc
Key West Dental Management Group Llc is an health care organization with primary practice located at 1215 Simonton St , Key West FL 33040-3158. The organization recently has 4 registered licenses in different health care specialties including Dental Providers / Endodontics, Dental Providers / General Practice, Dental Providers / Oral and Maxillofacial Surgery, Ambulatory Health Care Facilities / Dental. Ambulatory Health Care Facilities / Dental is the primary health care specialty. Key West Dental Management Group Llc can be contacted via phone (305) 296-8541, or through Sampedro, Isis via phone (786) 226-7474.

Contact Information

Primary practice address
1215 Simonton St Key West FL 33040-3158
Phone: (305) 296-8541
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Sampedro, Isis
Phone: (786) 226-7474

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Endodontics 1223E0200X
Dental Providers / General Practice 1223G0001X
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X
Ambulatory Health Care Facilities / Dental 261QD0000X

Profile Details

NPI number 1699446633
LBN Legal business name Key West Dental Management Group Llc
DBA Doing business as
Authorized official Sampedro, Isis
Entity Organization
Organization subpart 1 No
Enumeration date Sep 21st, 2021
Last updated Sep 21st, 2021 - about 3 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 1699446633 NPPES
Florida MEDICAID 024079200

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