Complete Dental Care Pa

LBN: Complete Dental Care Pa
Complete Dental Care Pa is an health care organization with primary practice located at 11213 N Nebraska Ave Suite 406C, Tampa FL 33612-5775. The organization recently has only one registered license in Dental Providers / Dentist, which is considered as the primary health care specialty. Complete Dental Care Pa can be contacted via phone (813) 977-4819, or through Hannah-Jones, Kimberly Louise via phone (813) 977-4819.

Contact Information

Primary practice address
11213 N Nebraska Ave Suite 406C Tampa FL 33612-5775
Fax: (813) 977-4568
Website:
Authorized official contact:
Name: Hannah-Jones, Kimberly Louise Doctor of Dental Medicine (DMD)

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X DN0012708 Florida

Profile Details

NPI number 1124122569
LBN Legal business name Complete Dental Care Pa
DBA Doing business as
Authorized official Hannah-Jones, Kimberly Louise Doctor of Dental Medicine (DMD)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 7th, 2006
Last updated Nov 12th, 2012 - about 14 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 1124122569 NPPES
Florida MEDICAID 073523001

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