Edwin L. Booth, Jr., Dds, Pa

LBN: Edwin L. Booth, Jr., Dds, Pa
Edwin L. Booth, Jr., Dds, Pa is an health care organization with primary practice located at 2100 W Cornwallis Dr Suite Q, Greensboro NC 27408-7036. The organization recently has only one registered license in Dental Providers / Dentist, which is considered as the primary health care specialty. Edwin L. Booth, Jr., Dds, Pa can be contacted via phone (336) 282-3400, or through Booth, Jill via phone (336) 282-3400.

Contact Information

Primary practice address
2100 W Cornwallis Dr Suite Q Greensboro NC 27408-7036
Phone: (336) 282-3400
Fax: (336) 282-3292
Website:
Map and Directions
Authorized official contact:
Name: Booth, Jill
Phone: (336) 282-3400

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X

Profile Details

NPI number 1821282039
LBN Legal business name Edwin L. Booth, Jr., Dds, Pa
DBA Doing business as
Authorized official Booth, Jill
Entity Organization
Organization subpart 1 No
Enumeration date Aug 30th, 2007
Last updated Aug 30th, 2007 - about 19 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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