Advanced Dentistry South Florida

LBN: Richard J Staller Dds Pa
Advanced Dentistry South Florida is an health care organization with primary practice located at 15340 Jog Road Suite 100 , Delray Beach FL 33446-6537. The organization recently has 3 registered licenses in different health care specialties including Dental Providers / Endodontics, Dental Providers / General Practice, Dental Providers / Oral and Maxillofacial Surgery. Dental Providers / General Practice is the primary health care specialty. Richard J Staller Dds Pa can be contacted via phone (561) 495-2099, or through Carter, Kelli N via phone (561) 495-2099.

Contact Information

Primary practice address
15340 Jog Road Suite 100 Delray Beach FL 33446-6537
Phone: (561) 495-2099
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Carter, Kelli N
Phone: (561) 495-2099

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Endodontics 1223E0200X 6099 Florida
Dental Providers / Endodontics 1223E0200X 10823 Florida
Dental Providers / General Practice 1223G0001X 9129 Florida
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X 9191 Florida

Profile Details

NPI number 1760812556
LBN Legal business name Richard J Staller Dds Pa
DBA Doing business as Advanced Dentistry South Florida
Authorized official Carter, Kelli N
Entity Organization
Organization subpart 1 No
Enumeration date Nov 15th, 2013
Last updated Oct 16th, 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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