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Contact Information

DENTAL STORE INC
2151 NW 2ND AVE
SUITE 102
BOCA RATON, FL33431
 Phone: 561-395-1486
 Fax: 561-395-1525
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
 

Endodontics

1223E0200X
 

Periodontics

1223P0300X
Indicates primary specialty

NPI Profile & details for DENTAL STORE INC

NPI # 1063552727
LBN Legal business name DENTAL STORE INC
Authorized official GEORGE SOROPOULOS - (PRESIDENT/GENERAL DENTIST)
Entity Organization
Organization subpart 1 No
Enumeration date 02/08/2007
Last updated 05/27/2009 - About 17 years ago
Identifiers
FL License # DN15874
FL License # DN16973
FL License # DN17801
FL License # DN6099
FL License # DN8030
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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