Ponte Vedra Cosmetic Dentistry, Pa

LBN: Ponte Vedra Cosmetic Dentistry, Pa
Ponte Vedra Cosmetic Dentistry, Pa is an health care organization with primary practice located at 100 Professional Dr , Ponte Vedra Beach FL 32082-6216. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Ponte Vedra Cosmetic Dentistry, Pa can be contacted via phone (904) 285-8407, or through Rudolph, Kamala via phone (904) 285-8407.

Contact Information

Primary practice address
100 Professional Dr Ponte Vedra Beach FL 32082-6216
Fax: (904) 285-5346
Website:
Authorized official contact:
Name: Rudolph, Kamala

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X

Profile Details

NPI number 1396000329
LBN Legal business name Ponte Vedra Cosmetic Dentistry, Pa
DBA Doing business as
Authorized official Rudolph, Kamala
Entity Organization
Organization subpart 1 No
Enumeration date Jul 5th, 2012
Last updated Jul 5th, 2012 - about 13 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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