Jackson Dental, P.A.
LBN: Jackson Dental, P.A.
Jackson Dental, P.A. is an health care organization with primary practice located at 101 E Kennedy Blvd Ste 300, Tampa FL 33602-5179. The organization recently has only one registered license in Ambulatory Health Care Facilities / Dental, which is considered as the primary health care specialty.
Jackson Dental, P.A. can be contacted via phone (352) 871-2577, or through Jackson, Geoffrey A via phone (352) 871-2577.
Contact Information
Primary practice address
101 E Kennedy Blvd Ste 300
Tampa FL 33602-5179
Phone: (352) 871-2577
Fax:
Website:
Authorized official contact:
Name: Jackson, Geoffrey A Doctor of Dental Surgery (DDS)
Phone: (352) 871-2577
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Dental | 261QD0000X | DN18870 | Florida |
Profile Details
| NPI number | 1588002620 |
|---|---|
| LBN Legal business name | Jackson Dental, P.A. |
| DBA Doing business as | |
| Authorized official | Jackson, Geoffrey A Doctor of Dental Surgery (DDS) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jun 11th, 2013 |
| Last updated | Jun 11th, 2013 - about 13 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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