Haines City Dental

LBN: Phoenix Advanced Inc
Haines City Dental is an health care organization with primary practice located at 35915 Us Hwy 27 Suite 2B, Haines City FL 33844-3737. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Phoenix Advanced Inc can be contacted via phone (863) 422-8338, or through Costello, James P via phone (352) 408-1400.

Contact Information

Primary practice address
35915 Us Hwy 27 Suite 2B Haines City FL 33844-3737
Phone: (863) 422-8338
Fax: (863) 422-5268
Website:
Map and Directions
Authorized official contact:
Name: Costello, James P Doctor of Dental Surgery (DDS)
Phone: (352) 408-1400

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X

Profile Details

NPI number 1053488684
LBN Legal business name Phoenix Advanced Inc
DBA Doing business as Haines City Dental
Authorized official Costello, James P Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 29th, 2006
Last updated Aug 22nd, 2020 - about 4 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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