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:
Map and Directions
Authorized official contact:
Name: Lopez, Juan Guillermo DMD, PA
Phone: (239) 768-1011

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1124745740 NPPES
Florida Other DN17696 DENTAL LICENSE
Florida Other 1447281720 DENTAL LICENSE

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