Juan Guillermo Lopez Dmd Dds Pa
LBN: Juan Guillermo Lopez Dmd Dds Pa
Juan Guillermo Lopez Dmd Dds Pa is an health care organization with primary practice located at 13300 S Cleveland Ave Ste 46 , Fort Myers FL 33907-3883. The organization recently has 2 registered licenses in different health care specialties including Dental Providers / General Practice, Ambulatory Health Care Facilities / Dental. Ambulatory Health Care Facilities / Dental is the primary health care specialty.
Juan Guillermo Lopez Dmd Dds Pa can be contacted via phone (239) 768-1011, or through Lopez, Juan Guillermo via phone (239) 768-1011.
Contact Information
Primary practice address
13300 S Cleveland Ave Ste 46
Fort Myers FL 33907-3883
Phone: (239) 768-1011
Fax: (239) 768-9311
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | ||
| Ambulatory Health Care Facilities / Dental | 261QD0000X |
Profile Details
| NPI number | 1124745740 |
|---|---|
| LBN Legal business name | Juan Guillermo Lopez Dmd Dds Pa |
| DBA Doing business as | |
| Authorized official | Lopez, Juan Guillermo DMD, PA |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Oct 24th, 2022 |
| Last updated | Oct 24th, 2022 - about 4 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1124745740 | NPPES |
| Florida | Other | DN17696 | DENTAL LICENSE |
| Florida | Other | 1447281720 | DENTAL LICENSE |
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