Sergio M. Lopez, D.D.S.,P. L.L.C.

LBN: Sergio M. Lopez, D.D.S.,P. L.L.C.
Sergio M. Lopez, D.D.S.,P. L.L.C. is an health care organization with primary practice located at 3102 W Waters Ave Suite 101, Tampa FL 33614-2882. The organization recently has only one registered license in Ambulatory Health Care Facilities / Dental, which is considered as the primary health care specialty. Sergio M. Lopez, D.D.S.,P. L.L.C. can be contacted via phone (813) 374-2441, or through Lopez, Sergio M. via phone (303) 513-5041.

Contact Information

Primary practice address
3102 W Waters Ave Suite 101 Tampa FL 33614-2882
Phone: (813) 374-2441
Fax: (813) 513-2925
Website:
Map and Directions
Authorized official contact:
Name: Lopez, Sergio M. Doctor of Dental Surgery (DDS)
Phone: (303) 513-5041

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Dental 261QD0000X 18229 Florida

Profile Details

NPI number 1083931729
LBN Legal business name Sergio M. Lopez, D.D.S.,P. L.L.C.
DBA Doing business as
Authorized official Lopez, Sergio M. Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 20th, 2010
Last updated Jul 18th, 2016 - about 10 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 1083931729 NPPES
Florida MEDICAID 013389200
Florida MEDICAID 44821026
Florida MEDICAID 007861100

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