Counrtyside Dental

LBN: Counrtyside Dental
Counrtyside Dental is an health care organization with primary practice located at 2165 Palmetto Street , Clearwater FL 33765. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Counrtyside Dental can be contacted via phone (727) 669-2887, or through Gonzalez, Debra L via phone (727) 669-2887.

Contact Information

Primary practice address
2165 Palmetto Street Clearwater FL 33765
Phone: (727) 669-2887
Fax: (727) 669-9103
Website:
Map and Directions
Authorized official contact:
Name: Gonzalez, Debra L
Phone: (727) 669-2887

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X

Profile Details

NPI number 1538238589
LBN Legal business name Counrtyside Dental
DBA Doing business as
Authorized official Gonzalez, Debra L
Entity Organization
Organization subpart 1 No
Enumeration date Nov 6th, 2006
Last updated Sep 27th, 2011 - about 15 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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