Professional Dental Alliance Of St. Augustine, Pllc

LBN: Professional Dental Alliance Of St. Augustine, Pllc
Professional Dental Alliance Of St. Augustine, Pllc is an health care organization with primary practice located at 2225 A1A S Ste A3 , St Augustine FL 32080-6374. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Professional Dental Alliance Of St. Augustine, Pllc can be contacted via phone (904) 201-3442, or through Howard, Lauren via phone (757) 576-5479.

Contact Information

Primary practice address
2225 A1A S Ste A3 St Augustine FL 32080-6374
Phone: (904) 201-3442
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Howard, Lauren
Phone: (757) 576-5479

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X

Profile Details

NPI number 1386294072
LBN Legal business name Professional Dental Alliance Of St. Augustine, Pllc
DBA Doing business as
Authorized official Howard, Lauren
Entity Organization
Organization subpart 1 No
Enumeration date Sep 16th, 2019
Last updated Sep 16th, 2019 - about 6 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.

Request for update

Popular Providers