Shirin Yasrebi, Dds

LBN: Shirin Yasrebi, Dds
Shirin Yasrebi, Dds is an health care organization with primary practice located at 2015 E Edgewood Dr , Lakeland FL 33803-3601. The organization recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as the primary health care specialty. Shirin Yasrebi, Dds can be contacted via phone (863) 667-9000, or through Yasrebi, Shirin via phone (863) 667-9000.

Contact Information

Primary practice address
2015 E Edgewood Dr Lakeland FL 33803-3601
Phone: (863) 667-9000
Fax: (863) 665-4368
Website:
Map and Directions
Authorized official contact:
Name: Yasrebi, Shirin Doctor of Dental Surgery (DDS)
Phone: (863) 667-9000

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Pediatric Dentistry 1223P0221X DN12434 Florida
Dental Providers / Pediatric Dentistry 1223P0221X DN5634 Florida

Profile Details

NPI number 1427219773
LBN Legal business name Shirin Yasrebi, Dds
DBA Doing business as
Authorized official Yasrebi, Shirin Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 19th, 2008
Last updated Jun 19th, 2008 - about 17 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 1427219773 NPPES
Florida MEDICAID 073762300

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