Daytona Pediatric Dentistry

LBN: Medicaid Dentistry Of Daytona Llc
Daytona Pediatric Dentistry is an health care organization with primary practice located at 1021 South Ridgewood Ave , Daytona Beach FL 32114. 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. Medicaid Dentistry Of Daytona Llc can be contacted via phone (386) 304-2677, or through Chaudhry, Mubashir via phone (386) 304-2677.

Contact Information

Primary practice address
1021 South Ridgewood Ave Daytona Beach FL 32114
Phone: (386) 304-2677
Fax: (386) 304-1899
Website:
Map and Directions
Authorized official contact:
Name: Chaudhry, Mubashir Doctor of Dental Medicine (DMD)
Phone: (386) 304-2677

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X Florida
Dental Providers / Pediatric Dentistry 1223P0221X DN13783 Florida
Dental Providers / Pediatric Dentistry 1223P0221X DN18742 Florida

Profile Details

NPI number 1326470436
LBN Legal business name Medicaid Dentistry Of Daytona Llc
DBA Doing business as Daytona Pediatric Dentistry
Authorized official Chaudhry, Mubashir Doctor of Dental Medicine (DMD)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 31st, 2013
Last updated May 21st, 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.

Request for update

Popular Providers