Tarpon River Dental, P.A.

LBN: Tarpon River Dental, P.A.
Tarpon River Dental, P.A. is an health care organization with primary practice located at 416 Se 11Th Ct , Fort Lauderdale FL 33316-1144. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Tarpon River Dental, P.A. can be contacted via phone (954) 663-2582, or through Petruk, Mariel via phone (954) 663-2582.

Contact Information

Primary practice address
416 Se 11Th Ct Fort Lauderdale FL 33316-1144
Phone: (954) 663-2582
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Petruk, Mariel
Phone: (954) 663-2582

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X

Profile Details

NPI number 1134762818
LBN Legal business name Tarpon River Dental, P.A.
DBA Doing business as
Authorized official Petruk, Mariel
Entity Organization
Organization subpart 1 No
Enumeration date Oct 24th, 2019
Last updated Oct 24th, 2019 - about 7 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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