<Unavail>

LBN: Brandon Greenwalt Dmd Pllc
<Unavail> is an health care organization with primary practice located at 12443 San Jose Blvd Ste 101 , Jacksonville FL 32223-8647. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Brandon Greenwalt Dmd Pllc can be contacted via phone (904) 262-6188, or through Greenwalt, Brandon Lee via phone (317) 408-5764.

Contact Information

Primary practice address
12443 San Jose Blvd Ste 101 Jacksonville FL 32223-8647
Phone: (904) 262-6188
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Greenwalt, Brandon Lee Doctor of Dental Medicine (DMD)
Phone: (317) 408-5764

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X DN19737 Florida

Profile Details

NPI number 1154770733
LBN Legal business name Brandon Greenwalt Dmd Pllc
DBA Doing business as <Unavail>
Authorized official Greenwalt, Brandon Lee Doctor of Dental Medicine (DMD)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 6th, 2016
Last updated Jun 6th, 2016 - about 10 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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