Bayshore Dental Group

LBN: Susan A Bollinger Dds
Bayshore Dental Group is an health care organization with primary practice located at 1401 Avocado Ave Ste 309 , Newport Beach CA 92660-8733. The organization recently has only one registered license in Suppliers / Customized Equipment, which is considered as the primary health care specialty. Susan A Bollinger Dds can be contacted via phone (949) 759-7007, or through Kennon, Nancy Marie via phone (949) 759-7007.

Contact Information

Primary practice address
1401 Avocado Ave Ste 309 Newport Beach CA 92660-8733
Phone: (949) 759-7007
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Kennon, Nancy Marie
Phone: (949) 759-7007

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Customized Equipment 332BC3200X 26589 California

Profile Details

NPI number 1538601117
LBN Legal business name Susan A Bollinger Dds
DBA Doing business as Bayshore Dental Group
Authorized official Kennon, Nancy Marie
Entity Organization
Organization subpart 1 No
Enumeration date Nov 14th, 2016
Last updated Nov 14th, 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 1538601117 NPPES
California Other 7560010001 PTAN

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