Medella Dental, Pllc

LBN: Medella Dental, Pllc
Medella Dental, Pllc is an health care organization with primary practice located at 1034 N Main St , Brockton MA 02301-1534. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Medella Dental, Pllc can be contacted via phone (508) 588-6964, or through Coombs, Sabrina via phone (508) 588-6964.

Contact Information

Primary practice address
1034 N Main St Brockton MA 02301-1534
Phone: (508) 588-6964
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Coombs, Sabrina Doctor of Dental Medicine (DMD)
Phone: (508) 588-6964

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X

Profile Details

NPI number 1710573910
LBN Legal business name Medella Dental, Pllc
DBA Doing business as
Authorized official Coombs, Sabrina Doctor of Dental Medicine (DMD)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 12th, 2020
Last updated Dec 28th, 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 1710573910 NPPES
Massachusetts MEDICAID 1700282670

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