Tdc Port St. Lucie Llc

LBN: Tdc Port St. Lucie Llc
Tdc Port St. Lucie Llc is an health care organization with primary practice located at 1161 Se Port St Lucie Blvd , Port St Lucie FL 34952-5332. The organization recently has 3 registered licenses in different health care specialties including Dental Providers / Endodontics, Dental Providers / General Practice, Dental Providers / Periodontics. Dental Providers / General Practice is the primary health care specialty. Tdc Port St. Lucie Llc can be contacted via phone (772) 335-7766, or through Tomalty, Sean via phone (561) 789-6611.

Contact Information

Primary practice address
1161 Se Port St Lucie Blvd Port St Lucie FL 34952-5332
Phone: (772) 335-7766
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Tomalty, Sean Doctor of Dental Medicine (DMD)
Phone: (561) 789-6611

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Endodontics 1223E0200X
Dental Providers / General Practice 1223G0001X
Dental Providers / Periodontics 1223P0300X

Profile Details

NPI number 1003471459
LBN Legal business name Tdc Port St. Lucie Llc
DBA Doing business as
Authorized official Tomalty, Sean Doctor of Dental Medicine (DMD)
Entity Organization
Organization subpart 1 No
Enumeration date May 1st, 2019
Last updated May 1st, 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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