Paradise Smiles Dental Clinic

LBN: Reaching Out Ministries
Paradise Smiles Dental Clinic is an health care organization with primary practice located at 226 Chalan San Antonio Ste C Amparo'S Business Center, Tamuning GU 96913-3525. The organization recently has only one registered license in Ambulatory Health Care Facilities / Dental, which is considered as the primary health care specialty. Reaching Out Ministries can be contacted via phone (671) 646-2010, or through Bourgeois, Kenny Wayne via phone (671) 646-2010.

Contact Information

Primary practice address
226 Chalan San Antonio Ste C Amparo'S Business Center Tamuning GU 96913-3525
Phone: (671) 646-2010
Fax: (671) 646-2070
Website:
Map and Directions
Authorized official contact:
Name: Bourgeois, Kenny Wayne Doctor of Dental Surgery (DDS)
Phone: (671) 646-2010

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Dental 261QD0000X D927 Guam
Ambulatory Health Care Facilities / Dental 261QD0000X 14605 Texas

Profile Details

NPI number 1972733053
LBN Legal business name Reaching Out Ministries
DBA Doing business as Paradise Smiles Dental Clinic
Authorized official Bourgeois, Kenny Wayne Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 22nd, 2009
Last updated Jul 22nd, 2009 - about 17 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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