Family And Cosmetic Dentistry At Vista Lakes
LBN: Southeastern Dental Group
Family And Cosmetic Dentistry At Vista Lakes is an health care organization with primary practice located at 6415 South Chickasaw Trail , Orlando FL 32829. The organization recently has only one registered license in Dental Providers / Dentist, which is considered as the primary health care specialty.
Southeastern Dental Group can be contacted via phone (407) 382-2282, or through Morra, Michael J via phone (407) 382-2282.
Contact Information
Primary practice address
6415 South Chickasaw Trail
Orlando FL 32829
Phone: (407) 382-2282
Fax: (407) 382-2858
Website:
Authorized official contact:
Name: Morra, Michael J Doctor of Dental Medicine (DMD)
Phone: (407) 382-2282
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Dental Providers / Dentist | 122300000X | DN15714 | Florida |
Dental Providers / Dentist | 122300000X | DN15633 | Florida |
Profile Details
NPI number | 1861403883 |
---|---|
LBN Legal business name | Southeastern Dental Group |
DBA Doing business as | Family And Cosmetic Dentistry At Vista Lakes |
Authorized official | Morra, Michael J Doctor of Dental Medicine (DMD) |
Entity | Organization |
Organization subpart 1 | No |
Enumeration date | Aug 11th, 2006 |
Last updated | Aug 22nd, 2020 - about 4 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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