Midtown Dental Center Llc

LBN: Midtown Dental Center Llc
Midtown Dental Center Llc is an health care organization with primary practice located at 3011 Central Ave , St Petersburg FL 33713-8632. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Midtown Dental Center Llc can be contacted via phone (727) 322-1828, or through Nelson-Mangatal, Jacqueline via phone (786) 316-5044.

Contact Information

Primary practice address
3011 Central Ave St Petersburg FL 33713-8632
Phone: (727) 322-1828
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Nelson-Mangatal, Jacqueline Doctor of Dental Surgery (DDS)
Phone: (786) 316-5044

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X DN16582 Florida

Profile Details

NPI number 1992078521
LBN Legal business name Midtown Dental Center Llc
DBA Doing business as
Authorized official Nelson-Mangatal, Jacqueline Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 13th, 2012
Last updated Feb 13th, 2012 - about 14 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 1992078521 NPPES
Florida MEDICAID 075681400

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