Clisso Dentistry Pc

LBN: Clisso Dentistry Pc
Clisso Dentistry Pc is an health care organization with primary practice located at 807 Park Ave Ne , Norton VA 24273. The organization recently has only one registered license in Dental Providers / Dentist, which is considered as the primary health care specialty. Clisso Dentistry Pc can be contacted via phone (276) 679-6030, or through Clisso, Monica Leann via phone (276) 679-6030.

Contact Information

Primary practice address
807 Park Ave Ne Norton VA 24273
Phone: (276) 679-6030
Fax: (276) 679-6030
Website:
Map and Directions
Authorized official contact:
Name: Clisso, Monica Leann Doctor of Dental Surgery (DDS)
Phone: (276) 679-6030

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 0401410603 Virginia

Profile Details

NPI number 1336275973
LBN Legal business name Clisso Dentistry Pc
DBA Doing business as Clisso Dentistry Pc
Authorized official Clisso, Monica Leann Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 26th, 2007
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 1336275973 NPPES
Other 197242 ANTHEM BCBS OF VA
MEDICAID 9178672 ANTHEM BCBS OF VA

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