Traci R. Fernandes, Dds, Inc

LBN: Traci R. Fernandes, Dds, Inc
Traci R. Fernandes, Dds, Inc is an health care organization with primary practice located at 901 Oak Park Blvd Suite 203, Pismo Beach CA 93449-3216. The organization recently has only one registered license in Dental Providers / Orthodontics and Dentofacial Orthopedics, which is considered as the primary health care specialty. Traci R. Fernandes, Dds, Inc can be contacted via phone (805) 489-8232, or through Fernandes, Traci R. via phone (805) 489-8232.

Contact Information

Primary practice address
901 Oak Park Blvd Suite 203 Pismo Beach CA 93449-3216
Phone: (805) 489-8232
Fax: (805) 489-8234
Website:
Map and Directions
Authorized official contact:
Name: Fernandes, Traci R. DDS, MS
Phone: (805) 489-8232

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Orthodontics and Dentofacial Orthopedics 1223X0400X 41830 California

Profile Details

NPI number 1225042120
LBN Legal business name Traci R. Fernandes, Dds, Inc
DBA Doing business as
Authorized official Fernandes, Traci R. DDS, MS
Entity Organization
Organization subpart 1 No
Enumeration date Jul 28th, 2006
Last updated Aug 22nd, 2020 - about 5 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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