Opal Ridgedental Llc

LBN: Opal Ridgedental Llc
Opal Ridgedental Llc is an health care organization with primary practice located at 1700 Kingfisher Dr Suite 11, Frederick MD 21701-4775. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Opal Ridgedental Llc can be contacted via phone (301) 788-8224, or through Thackenkary, Renju Alex via phone (301) 788-8224.

Contact Information

Primary practice address
1700 Kingfisher Dr Suite 11 Frederick MD 21701-4775
Phone: (301) 788-8224
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Thackenkary, Renju Alex Doctor of Dental Surgery (DDS)
Phone: (301) 788-8224

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 15434 Maryland

Profile Details

NPI number 1326442286
LBN Legal business name Opal Ridgedental Llc
DBA Doing business as
Authorized official Thackenkary, Renju Alex Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 21st, 2014
Last updated Oct 21st, 2014 - about 10 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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