Florence Dental Clinic

LBN: Florence Dental Clinic
Florence Dental Clinic is an health care organization with primary practice located at 129 Earl Clark Drive , Florence MS 39073. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Florence Dental Clinic can be contacted via phone (601) 845-2386, or through Byrd, Thomas R via phone (604) 845-2386.

Contact Information

Primary practice address
129 Earl Clark Drive Florence MS 39073
Phone: (601) 845-2386
Fax: (601) 845-1470
Website:
Map and Directions
Authorized official contact:
Name: Byrd, Thomas R Doctor of Dental Medicine (DMD)
Phone: (604) 845-2386

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 2401 Mississippi
Dental Providers / General Practice 1223G0001X 3182 Mississippi

Profile Details

NPI number 1538330444
LBN Legal business name Florence Dental Clinic
DBA Doing business as
Authorized official Byrd, Thomas R Doctor of Dental Medicine (DMD)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 19th, 2008
Last updated Mar 19th, 2008 - about 17 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 1538330444 NPPES
Mississippi MEDICAID 09015190

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