Regency Square Mall Dental

LBN: Regency Square Mall Dental
Regency Square Mall Dental is an health care organization with primary practice located at 9501 Arlington Expy Ste#0345, Jacksonville FL 32225-8200. The organization recently has only one registered license in Dental Providers / Dentist, which is considered as the primary health care specialty. Regency Square Mall Dental can be contacted via phone (904) 727-6055, or through Krasnov, Rostislav via phone (904) 727-6055.

Contact Information

Primary practice address
9501 Arlington Expy Ste#0345 Jacksonville FL 32225-8200
Phone: (904) 727-6055
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Krasnov, Rostislav Doctor of Dental Surgery (DDS)
Phone: (904) 727-6055

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X DN16377 Florida

Profile Details

NPI number 1033465349
LBN Legal business name Regency Square Mall Dental
DBA Doing business as
Authorized official Krasnov, Rostislav Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 24th, 2012
Last updated Dec 3rd, 2014 - about 12 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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