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Contact Information

COMFORTABLE CARE DENTAL HEALTH PROFESSIONALS
1647 COUNTRY ROAD 220, SUITE 101
FLEMING ISLAND, FL32003
 Phone: 904-278-6229
 Fax: 904-269-3529
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
Indicates primary specialty

NPI Profile & details for COMFORTABLE CARE DENTAL HEALTH PROFESSIONALS

NPI Number 1003188475
LBN Legal business name COMFORTABLE CARE DENTAL HEALTH PROFESSIONALS
Authorized official PAM HARDIEK - (CREDENTIALING)
Entity Organization
Organization subpart 1 Yes
Enumeration date 02/01/2012
Last updated 02/01/2012 - About 14 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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