Kids Smiles Dental, Pllc

LBN: Kids Smiles Dental, Pllc
Kids Smiles Dental, Pllc is an health care organization with primary practice located at 1773 W Fletcher Ave , Tampa FL 33612. The organization recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as the primary health care specialty. Kids Smiles Dental, Pllc can be contacted via phone (813) 968-2483, or through Jordan, Neely via phone (813) 968-2483.

Contact Information

Primary practice address
1773 W Fletcher Ave Tampa FL 33612
Phone: (813) 968-2483
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Jordan, Neely
Phone: (813) 968-2483

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Pediatric Dentistry 1223P0221X DN13285 Florida

Profile Details

NPI number 1033661848
LBN Legal business name Kids Smiles Dental, Pllc
DBA Doing business as
Authorized official Jordan, Neely
Entity Organization
Organization subpart 1 Yes
Enumeration date Oct 27th, 2016
Last updated Jul 23rd, 2018 - about 6 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 1033661848 NPPES
Florida MEDICAID 017306300
Florida MEDICAID 075109000

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