Advanced Dental Wellness Center

LBN: Advanced Dental Wellness Center
Advanced Dental Wellness Center is an health care organization with primary practice located at 104 Se 1St St , Fort Lauderdale FL 33301-1924. The organization recently has only one registered license in Dental Providers / Dentist, which is considered as the primary health care specialty. Advanced Dental Wellness Center can be contacted via phone (954) 525-5662, or through Lipovetskiy, Boris via phone (954) 525-5662.

Contact Information

Primary practice address
104 Se 1St St Fort Lauderdale FL 33301-1924
Phone: (954) 525-5662
Fax: (954) 525-5251
Website:
Map and Directions
Authorized official contact:
Name: Lipovetskiy, Boris
Phone: (954) 525-5662

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X DN21039 Florida

Profile Details

NPI number 1730694191
LBN Legal business name Advanced Dental Wellness Center
DBA Doing business as
Authorized official Lipovetskiy, Boris
Entity Organization
Organization subpart 1 No
Enumeration date Dec 7th, 2017
Last updated Dec 7th, 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 1730694191 NPPES
Florida Other 1629113808 GROUP NPI

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