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Contact Information

COMFORTABLE CARE DENTAL HEALTH PROFESSIONALS, PA
2532 RACE TRACK RD
SAINT JOHNS, FL32259
 Phone: 904-342-8423
 Fax: 904-679-3226
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
Indicates primary specialty

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

NPI # 1043760390
LBN Legal business name COMFORTABLE CARE DENTAL HEALTH PROFESSIONALS, PA
Authorized official KENDRA WALKER - (CREDENTIALING TEAM LEAD)
Entity Organization
Organization subpart 1 Yes
Enumeration date 10/11/2016
Last updated 12/19/2016 - 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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