Boulder Rock Dental, Llc

LBN: Boulder Rock Dental, Llc
Boulder Rock Dental, Llc is an health care organization with primary practice located at 5 Boulder Rock Dr Ste A , Palm Coast FL 32137-8538. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Boulder Rock Dental, Llc can be contacted via phone (386) 931-1685, or through Whitaker, Tanya via phone (386) 276-9051.

Contact Information

Primary practice address
5 Boulder Rock Dr Ste A Palm Coast FL 32137-8538
Phone: (386) 931-1685
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Whitaker, Tanya
Phone: (386) 276-9051

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X DN15016 Florida

Profile Details

NPI number 1922515204
LBN Legal business name Boulder Rock Dental, Llc
DBA Doing business as
Authorized official Whitaker, Tanya
Entity Organization
Organization subpart 1 No
Enumeration date Jan 8th, 2018
Last updated Jun 12th, 2024 - about 2 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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