Wisdom Tooth Clinical Services Pa

LBN: Wisdom Tooth Clinical Services Pa
Wisdom Tooth Clinical Services Pa is an health care organization with primary practice located at 100 Nw 170Th St Ste 306 , North Miami Beach FL 33169-5511. The organization recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as the primary health care specialty. Wisdom Tooth Clinical Services Pa can be contacted via phone (305) 432-6719, or through Cudjoe, Peter via phone (305) 432-6719.

Contact Information

Primary practice address
100 Nw 170Th St Ste 306 North Miami Beach FL 33169-5511
Fax:
Website:
Authorized official contact:
Name: Cudjoe, Peter Doctor of Dental Surgery (DDS)

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X

Profile Details

NPI number 1942127428
LBN Legal business name Wisdom Tooth Clinical Services Pa
DBA Doing business as
Authorized official Cudjoe, Peter Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 3rd, 2026
Last updated Jul 3rd, 2026 - about 4 months 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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