Champion Dental Pc

LBN: Champion Dental Pc
Champion Dental Pc is an health care organization with primary practice located at Carretera 693 Km 13.7 Plaza Del Mar Sopping C Suite 201B, Vega Alta PR 00646. The organization recently has only one registered license in Dental Providers / Dentist, which is considered as the primary health care specialty. Champion Dental Pc can be contacted via phone (787) 369-7600, or through Champion, Derrick via phone (787) 369-7600.

Contact Information

Primary practice address
Carretera 693 Km 13.7 Plaza Del Mar Sopping C Suite 201B Vega Alta PR 00646
Phone: (787) 369-7600
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Champion, Derrick Doctor of Dental Surgery (DDS)
Phone: (787) 369-7600

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 3179 Puerto Rico

Profile Details

NPI number 1366809725
LBN Legal business name Champion Dental Pc
DBA Doing business as
Authorized official Champion, Derrick Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 15th, 2016
Last updated Jan 15th, 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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