The Village Dentist

LBN: The Village Dentist
The Village Dentist is an health care organization with primary practice located at 425 W Town Pl Suite 106, St Augustine FL 32092-3661. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. The Village Dentist can be contacted via phone (904) 940-7990, or through Gibson, Michele via phone (904) 940-7990.

Contact Information

Primary practice address
425 W Town Pl Suite 106 St Augustine FL 32092-3661
Phone: (904) 940-7990
Fax: (904) 940-7991
Website:
Map and Directions
Authorized official contact:
Name: Gibson, Michele
Phone: (904) 940-7990

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X DN11714 Florida

Profile Details

NPI number 1205132503
LBN Legal business name The Village Dentist
DBA Doing business as
Authorized official Gibson, Michele
Entity Organization
Organization subpart 1 No
Enumeration date Feb 3rd, 2011
Last updated Feb 3rd, 2011 - about 14 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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