Heritage Park Boulevard Dental Pllc
LBN: Heritage Park Boulevard Dental Pllc
Heritage Park Boulevard Dental Pllc is an health care organization with primary practice located at 2719 Us-89 Suite 100, Ogden UT 84404. The organization recently has only one registered license in Dental Providers / Endodontics, which is considered as the primary health care specialty.
Heritage Park Boulevard Dental Pllc can be contacted via phone (801) 782-5792, or through Garcia-Rocha, Jenny via phone (972) 869-3789.
Contact Information
Primary practice address
2719 Us-89 Suite 100
Ogden UT 84404
Phone: (801) 782-5792
Fax: (801) 782-3339
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Endodontics | 1223E0200X |
Profile Details
| NPI number | 1417739715 |
|---|---|
| LBN Legal business name | Heritage Park Boulevard Dental Pllc |
| DBA Doing business as | |
| Authorized official | Garcia-Rocha, Jenny |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Oct 20th, 2023 |
| Last updated | Oct 20th, 2023 - about 3 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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