Sl Dental Specialty Group

LBN: Tin Dental Specialty Group A Professional Dental Corp
Sl Dental Specialty Group is an health care organization with primary practice located at 1436 Clarke St , San Leandro CA 94577-3635. The organization recently has only one registered license in Dental Providers / Dentist, which is considered as the primary health care specialty. Tin Dental Specialty Group A Professional Dental Corp can be contacted via phone (415) 987-0260, or through Tin, Justin via phone (415) 218-3866.

Contact Information

Primary practice address
1436 Clarke St San Leandro CA 94577-3635
Phone: (415) 987-0260
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Tin, Justin Doctor of Dental Surgery (DDS)
Phone: (415) 218-3866

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X

Profile Details

NPI number 1285161323
LBN Legal business name Tin Dental Specialty Group A Professional Dental Corp
DBA Doing business as Sl Dental Specialty Group
Authorized official Tin, Justin Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date May 19th, 2017
Last updated May 19th, 2017 - 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 1285161323 NPPES
California Other 37744 DENTICAL

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