Debary Dentistry Llc

LBN: Debary Dentistry Llc
Debary Dentistry Llc is an health care organization with primary practice located at 190 N Charles Richard Beall Blvd Ste 101 , Debary FL 32713-2271. The organization recently has only one registered license in Ambulatory Health Care Facilities / Dental, which is considered as the primary health care specialty. Debary Dentistry Llc can be contacted via phone (386) 668-2003, or through Kelly, Peter via phone (410) 303-1528.

Contact Information

Primary practice address
190 N Charles Richard Beall Blvd Ste 101 Debary FL 32713-2271
Phone: (386) 668-2003
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Kelly, Peter
Phone: (410) 303-1528

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Dental 261QD0000X

Profile Details

NPI number 1366078750
LBN Legal business name Debary Dentistry Llc
DBA Doing business as
Authorized official Kelly, Peter
Entity Organization
Organization subpart 1 No
Enumeration date Mar 17th, 2020
Last updated Mar 17th, 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 1366078750 NPPES
Florida Other DN19430 STATE LICENSE

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