<Unavail>

LBN: Pettissheparddentastic Llc
<Unavail> is an health care organization with primary practice located at 2747 E Atlantic Blvd , Pompano Beach FL 33062-4941. The organization recently has only one registered license in Dental Providers / Dentist, which is considered as the primary health care specialty. Pettissheparddentastic Llc can be contacted via phone (954) 781-4670, or through Shepard, Paul R via phone (954) 781-4670.

Contact Information

Primary practice address
2747 E Atlantic Blvd Pompano Beach FL 33062-4941
Phone: (954) 781-4670
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Shepard, Paul R Physician Assistant (PA)
Phone: (954) 781-4670

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X DN7571 Florida
Dental Providers / Dentist 122300000X DN19680 Florida
Dental Providers / Dentist 122300000X DN19879 Florida

Profile Details

NPI number 1467839522
LBN Legal business name Pettissheparddentastic Llc
DBA Doing business as <Unavail>
Authorized official Shepard, Paul R Physician Assistant (PA)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 28th, 2015
Last updated Apr 28th, 2015 - about 11 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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