Supreme Dental Care Llc

LBN: Supreme Dental Care Llc
Supreme Dental Care Llc is an health care organization with primary practice located at 4600 W Commercial Blvd Ste 2 , Tamarac FL 33319-3307. The organization recently has only one registered license in Ambulatory Health Care Facilities / Dental, which is considered as the primary health care specialty. Supreme Dental Care Llc can be contacted via phone (954) 742-3550, or through Jacas, Sergio via phone (954) 742-3550.

Contact Information

Primary practice address
4600 W Commercial Blvd Ste 2 Tamarac FL 33319-3307
Phone: (954) 742-3550
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Jacas, Sergio Doctor of Dental Medicine (DMD)
Phone: (954) 742-3550

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Dental 261QD0000X

Profile Details

NPI number 1104522812
LBN Legal business name Supreme Dental Care Llc
DBA Doing business as
Authorized official Jacas, Sergio Doctor of Dental Medicine (DMD)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 3rd, 2023
Last updated Feb 3rd, 2023 - about 3 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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