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Contact Information

BLUEBONNET DENTAL CARE HATTIESBURG LLC
6668 HWY 98 WEST STE G
HATTIESBURG, MS39402
 Phone: 225-767-2273
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
Indicates primary specialty

NPI Profile & details for BLUEBONNET DENTAL CARE HATTIESBURG LLC

NPI Number 1154760510
LBN Legal business name BLUEBONNET DENTAL CARE HATTIESBURG LLC
Authorized official ANDRE BRUNI - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 06/19/2013
Last updated 07/15/2013 - About 13 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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