Park Avenue Dental

LBN: Park Avenue Dental
Park Avenue Dental is an health care organization with primary practice located at 912 Nw 56Th Ter Ste B , Gainesville FL 32605-6404. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Park Avenue Dental can be contacted via phone (352) 331-7573, or through Goslinga, Shane Nelis via phone (352) 331-7573.

Contact Information

Primary practice address
912 Nw 56Th Ter Ste B Gainesville FL 32605-6404
Fax:
Website:
Authorized official contact:
Name: Goslinga, Shane Nelis Doctor of Dental Medicine (DMD)

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 17071 Florida

Profile Details

NPI number 1033373022
LBN Legal business name Park Avenue Dental
DBA Doing business as
Authorized official Goslinga, Shane Nelis Doctor of Dental Medicine (DMD)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 18th, 2008
Last updated Jul 18th, 2008 - about 17 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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