Countryside Dental Assoc Inc

LBN: Countryside Dental Assoc Inc
Countryside Dental Assoc Inc is an health care organization with primary practice located at 5810 S. Flamingo Rd , Cooper City FL 33330-3237. The organization recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / General Practice. Dental Providers / Dentist is the primary health care specialty. Countryside Dental Assoc Inc can be contacted via phone (954) 434-3229, or through Ancona, Michael J via phone (954) 434-3229.

Contact Information

Primary practice address
5810 S. Flamingo Rd Cooper City FL 33330-3237
Phone: (954) 434-3229
Fax: (954) 680-6254
Website:
Map and Directions
Authorized official contact:
Name: Ancona, Michael J Doctor of Dental Surgery (DDS)
Phone: (954) 434-3229

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X DN8648 Florida
Dental Providers / Dentist 122300000X DN8648
Dental Providers / Dentist 122300000X DN18677 Florida
Dental Providers / General Practice 1223G0001X DN18066 Florida

Profile Details

NPI number 1699934646
LBN Legal business name Countryside Dental Assoc Inc
DBA Doing business as
Authorized official Ancona, Michael J Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 5th, 2008
Last updated Jan 20th, 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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