Pelican Dental Care

LBN: Pelican Dental Care
Pelican Dental Care is an health care organization with primary practice located at 1956 41St Ave Ste A , Vero Beach FL 32960-2561. The organization recently has only one registered license in Dental Providers / Dentist, which is considered as the primary health care specialty. Pelican Dental Care can be contacted via phone (772) 569-9781, or through Perez, Liliana via phone (772) 569-9781.

Contact Information

Primary practice address
1956 41St Ave Ste A Vero Beach FL 32960-2561
Phone: (772) 569-9781
Fax: (772) 569-9912
Website:
Map and Directions
Authorized official contact:
Name: Perez, Liliana
Phone: (772) 569-9781

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X DN19163 Florida

Profile Details

NPI number 1598058174
LBN Legal business name Pelican Dental Care
DBA Doing business as
Authorized official Perez, Liliana
Entity Organization
Organization subpart 1 No
Enumeration date May 16th, 2011
Last updated May 16th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1598058174 NPPES
Florida MEDICAID 0028294

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