Daleville Dental, Llc

LBN: Daleville Dental, Llc
Daleville Dental, Llc is an health care organization with primary practice located at 526 N Daleville Ave , Daleville AL 36322-2000. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Daleville Dental, Llc can be contacted via phone (334) 598-4994, or through Walters, Jay Michael via phone (334) 598-4994.

Contact Information

Primary practice address
526 N Daleville Ave Daleville AL 36322-2000
Fax: (334) 598-4342
Website:
Authorized official contact:
Name: Walters, Jay Michael Doctor of Dental Surgery (DDS)

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 4553 Alabama

Profile Details

NPI number 1760477251
LBN Legal business name Daleville Dental, Llc
DBA Doing business as
Authorized official Walters, Jay Michael Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 12th, 2005
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 1760477251 NPPES
Other 820510 UCCI
Other 51525448 UCCI

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