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Contact Information

COMFORTABLE CARE DENTA HEALTH PROFESSIONALS, PA
1386 E JOHN SIMS PARKWAY
NICEVILLE, FL32578
 Phone: 850-389-4609
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
Indicates primary specialty

NPI Profile & details for COMFORTABLE CARE DENTA HEALTH PROFESSIONALS, PA

NPI # 1003336199
LBN Legal business name COMFORTABLE CARE DENTA HEALTH PROFESSIONALS, PA
Authorized official KENDRA WALKER - (CREDENTIALING SUPERVISOR)
Entity Organization
Organization subpart 1 Yes
Enumeration date 06/21/2017
Last updated 06/21/2017 - About 9 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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