Lw Pediatric Dentistry Pa

LBN: Lw Pediatric Dentistry Pa
Lw Pediatric Dentistry Pa is an health care organization with primary practice located at 6910 Lake Worth Rd , Lake Worth FL 33467-2978. The organization recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as the primary health care specialty. Lw Pediatric Dentistry Pa can be contacted via phone (561) 770-7321, or through Popper, Drew via phone (203) 415-6875.

Contact Information

Primary practice address
6910 Lake Worth Rd Lake Worth FL 33467-2978
Phone: (561) 770-7321
Fax: (561) 725-0762
Website:
Map and Directions
Authorized official contact:
Name: Popper, Drew Doctor of Dental Medicine (DMD)
Phone: (203) 415-6875

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Pediatric Dentistry 1223P0221X

Profile Details

NPI number 1104450121
LBN Legal business name Lw Pediatric Dentistry Pa
DBA Doing business as
Authorized official Popper, Drew Doctor of Dental Medicine (DMD)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 28th, 2020
Last updated Feb 28th, 2020 - about 4 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 1104450121 NPPES
Florida MEDICAID 017151100

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