Orange Park Dentistry

LBN: Orange Park Dentistry
Orange Park Dentistry is an health care organization with primary practice located at 784 Blanding Blvd Ste 110 , Orange Park FL 32065-7724. The organization recently has only one registered license in Ambulatory Health Care Facilities / Dental, which is considered as the primary health care specialty. Orange Park Dentistry can be contacted via phone (904) 272-2438, or through Kelly, Peter via phone (904) 272-2438.

Contact Information

Primary practice address
784 Blanding Blvd Ste 110 Orange Park FL 32065-7724
Phone: (904) 272-2438
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Kelly, Peter
Phone: (904) 272-2438

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Dental 261QD0000X

Profile Details

NPI number 1780342352
LBN Legal business name Orange Park Dentistry
DBA Doing business as
Authorized official Kelly, Peter
Entity Organization
Organization subpart 1 No
Enumeration date Dec 1st, 2021
Last updated Dec 1st, 2021 - about 5 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 1780342352 NPPES
Florida Other DN19430 STATE LICENSE
Florida Other DN26279 STATE LICENSE

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