Dentist At The Villages

LBN: Dentist At The Villages
Dentist At The Villages is an health care organization with primary practice located at 307 Lagrande Blvd , Lady Lake FL 32159-2388. The organization recently has only one registered license in Managed Care Organizations / Exclusive Provider Organization, which is considered as the primary health care specialty. Dentist At The Villages can be contacted via phone (352) 753-5789, or through Medina, Carlos via phone (352) 753-5789.

Contact Information

Primary practice address
307 Lagrande Blvd Lady Lake FL 32159-2388
Phone: (352) 753-5789
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Medina, Carlos Doctor of Dental Medicine (DMD)
Phone: (352) 753-5789

Health care specialties

SpecialtyCodeLicense #State
Managed Care Organizations / Exclusive Provider Organization 302F00000X DN 15845 Florida

Profile Details

NPI number 1760938005
LBN Legal business name Dentist At The Villages
DBA Doing business as
Authorized official Medina, Carlos Doctor of Dental Medicine (DMD)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 28th, 2016
Last updated Aug 28th, 2016 - about 10 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.

Request for update

Popular Providers