Bayou Dental, Pa

LBN: Bayou Dental, Pa
Bayou Dental, Pa is an health care organization with primary practice located at 4461 Bayou Blvd , Pensacola FL 32503-2601. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Bayou Dental, Pa can be contacted via phone (850) 476-5233, or through Callahan, James D via phone (850) 476-5233.

Contact Information

Primary practice address
4461 Bayou Blvd Pensacola FL 32503-2601
Phone: (850) 476-5233
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Callahan, James D Doctor of Dental Medicine (DMD)
Phone: (850) 476-5233

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X

Profile Details

NPI number 1407898158
LBN Legal business name Bayou Dental, Pa
DBA Doing business as
Authorized official Callahan, James D Doctor of Dental Medicine (DMD)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 10th, 2006
Last updated Aug 22nd, 2020 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1407898158 NPPES
Florida Other 1808923 UNITED CONCORDIA

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