Rennigade Dental Group Pllc

LBN: Rennigade Dental Group Pllc
Rennigade Dental Group Pllc is an health care organization with primary practice located at 1747 Us Highway 1 S , St Augustine FL 32084-4238. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Rennigade Dental Group Pllc can be contacted via phone (904) 495-0881, or through Rennie, Kevon via phone (904) 495-0881.

Contact Information

Primary practice address
1747 Us Highway 1 S St Augustine FL 32084-4238
Phone: (904) 495-0881
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Rennie, Kevon
Phone: (904) 495-0881

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X

Profile Details

NPI number 1316600356
LBN Legal business name Rennigade Dental Group Pllc
DBA Doing business as
Authorized official Rennie, Kevon
Entity Organization
Organization subpart 1 No
Enumeration date Oct 18th, 2021
Last updated Jun 15th, 2023 - 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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