Port Orange Modern Dentistry

LBN: Port Orange Modern Dentistry, Pa
Port Orange Modern Dentistry is an health care organization with primary practice located at 1765 Dunlawton Ave. Suite 103, Port Orange FL 32129. The organization recently has only one registered license in Dental Providers / Dentist, which is considered as the primary health care specialty. Port Orange Modern Dentistry, Pa can be contacted via phone (386) 259-3905, or through Pham, Minh B via phone (386) 259-3905.

Contact Information

Primary practice address
1765 Dunlawton Ave. Suite 103 Port Orange FL 32129
Phone: (386) 259-3905
Fax: (386) 259-3905
Website:
Map and Directions
Authorized official contact:
Name: Pham, Minh B Doctor of Dental Surgery (DDS)
Phone: (386) 259-3905

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X

Profile Details

NPI number 1982179818
LBN Legal business name Port Orange Modern Dentistry, Pa
DBA Doing business as Port Orange Modern Dentistry
Authorized official Pham, Minh B Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 8th, 2018
Last updated Aug 25th, 2022 - about 2 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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