Profiles Ii Oral And Facial Surgery ,Pllc

LBN: Profiles Ii Oral And Facial Surgery ,Pllc
Profiles Ii Oral And Facial Surgery ,Pllc is an health care organization with primary practice located at 2560 Rca Blvd Suite 102, Palm Beach Gardens FL 33410-3338. The organization recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as the primary health care specialty. Profiles Ii Oral And Facial Surgery ,Pllc can be contacted via phone (561) 622-9065, or through Charles, Makepeace via phone (561) 622-9065.

Contact Information

Primary practice address
2560 Rca Blvd Suite 102 Palm Beach Gardens FL 33410-3338
Phone: (561) 622-9065
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Charles, Makepeace Doctor of Dental Surgery (DDS)
Phone: (561) 622-9065

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X Florida

Profile Details

NPI number 1477837011
LBN Legal business name Profiles Ii Oral And Facial Surgery ,Pllc
DBA Doing business as
Authorized official Charles, Makepeace Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 30th, 2011
Last updated Jul 25th, 2016 - about 8 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 1477837011 NPPES
Florida MEDICAID 003758600

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