Wells Oral & Maxillofacial Surgery Association
LBN: Wells Oral & Maxillofacial Surgery Association
Wells Oral & Maxillofacial Surgery Association is an health care organization with primary practice located at 4225 Southpoint Pkwy S , Jacksonville FL 32216-0975. The organization recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as the primary health care specialty.
Wells Oral & Maxillofacial Surgery Association can be contacted via phone (904) 296-2226, or through Wells, Marvin C via phone (904) 296-2226.
Contact Information
Primary practice address
4225 Southpoint Pkwy S
Jacksonville FL 32216-0975
Phone: (904) 296-2226
Fax: (904) 296-8887
Website:
Authorized official contact:
Name: Wells, Marvin C Doctor of Dental Medicine (DMD)
Phone: (904) 296-2226
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | 8078 | Florida |
Profile Details
| NPI number | 1801140678 |
|---|---|
| LBN Legal business name | Wells Oral & Maxillofacial Surgery Association |
| DBA Doing business as | |
| Authorized official | Wells, Marvin C Doctor of Dental Medicine (DMD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Nov 1st, 2012 |
| Last updated | Nov 1st, 2012 - about 12 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1801140678 | NPPES |
| Florida | MEDICAID | 0747998-00 | |
| Florida | Other | 86833 |
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