Main Street Children'S Dentistry Of Boca Raton

LBN: Main Street Children'S Dentistry And Orthodontics Of Boca Raton, P.A.
Main Street Children'S Dentistry Of Boca Raton is an health care organization with primary practice located at 595 S Federal Hwy Ste 130 , Boca Raton FL 33432-6096. The organization recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / Pediatric Dentistry. Dental Providers / Pediatric Dentistry is the primary health care specialty. Main Street Children'S Dentistry And Orthodontics Of Boca Raton, P.A. can be contacted via phone (561) 826-7955, or through Gober, Melvyn via phone (305) 274-2499.

Contact Information

Primary practice address
595 S Federal Hwy Ste 130 Boca Raton FL 33432-6096
Phone: (561) 826-7955
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Gober, Melvyn Doctor of Dental Surgery (DDS)
Phone: (305) 274-2499

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X
Dental Providers / Pediatric Dentistry 1223P0221X

Profile Details

NPI number 1932483864
LBN Legal business name Main Street Children'S Dentistry And Orthodontics Of Boca Raton, P.A.
DBA Doing business as Main Street Children'S Dentistry Of Boca Raton
Authorized official Gober, Melvyn Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 11th, 2011
Last updated Jul 10th, 2012 - about 12 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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