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Contact Information

SOUTHERN DENTAL LLC
703 HEALTH SERVICES DR
SEAFORD, DE19973-5784
 Phone: 302-999-7600
 Fax: 302-998-6704
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
Indicates primary specialty

NPI Profile & details for SOUTHERN DENTAL LLC

NPI Number 1922422435
LBN Legal business name SOUTHERN DENTAL LLC
Authorized official PAUL BROWN - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 02/05/2014
Last updated 03/06/2014 - About 12 years ago
Identifiers
DE License # G1-0001011
DE License # G1-0001040
DE License # G1-0001216
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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