Mitesh Jivan Dmd

LBN: Mj Dental Services, Pa
Mitesh Jivan Dmd is an health care organization with primary practice located at 2230 West Old Highway 441 , Mount Dora FL 32757-3508. The organization recently has 4 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / General Practice, Dental Providers / Dental Hygienist, Dental Providers / Dental Assistant. Dental Providers / Dentist is the primary health care specialty. Mj Dental Services, Pa can be contacted via phone (352) 383-2959, or through Jivan, Mitesh via phone (352) 383-2959.

Contact Information

Primary practice address
2230 West Old Highway 441 Mount Dora FL 32757-3508
Phone: (352) 383-2959
Fax: (352) 735-3355
Website:
Map and Directions
Authorized official contact:
Name: Jivan, Mitesh Doctor of Dental Medicine (DMD)
Phone: (352) 383-2959

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X DN18726 Florida
Dental Providers / General Practice 1223G0001X DN6360 Florida
Dental Providers / Dental Hygienist 124Q00000X DH5118 Florida
Dental Providers / Dental Hygienist 124Q00000X DH15460 Florida
Dental Providers / Dental Hygienist 124Q00000X DH5702 Florida
Dental Providers / Dental Assistant 126800000X 106953 Florida

Profile Details

NPI number 1659677714
LBN Legal business name Mj Dental Services, Pa
DBA Doing business as Mitesh Jivan Dmd
Authorized official Jivan, Mitesh Doctor of Dental Medicine (DMD)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 7th, 2011
Last updated Feb 7th, 2011 - about 14 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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