Boldt Dental

LBN: Zola Dental Medford Llc
Boldt Dental is an health care organization with primary practice located at 922 E Main , Medford OR 97504. The organization recently has only one registered license in Dental Providers / Dentist, which is considered as the primary health care specialty. Zola Dental Medford Llc can be contacted via phone (509) 475-5367, or through Paventy, Anthony Mark via phone (509) 475-5367.

Contact Information

Primary practice address
922 E Main Medford OR 97504
Phone: (509) 475-5367
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Paventy, Anthony Mark Doctor of Dental Medicine (DMD)
Phone: (509) 475-5367

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X D9209 Oregon

Profile Details

NPI number 1437646908
LBN Legal business name Zola Dental Medford Llc
DBA Doing business as Boldt Dental
Authorized official Paventy, Anthony Mark Doctor of Dental Medicine (DMD)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 19th, 2018
Last updated Apr 19th, 2018 - about 6 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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