National Provider Identifier Database

PRISON REHABILITATIVE INDUSTRIES DIVERSIFIED ENTERPRISES
Dental Laboratory

A commercial laboratory specializing in the construction of dental appliances that conform to a dentist?s specifications including the construction of dentures (complete or partial), orthodontic appliances, bridgework, crowns, and inlays.


Contact Information

PRISON REHABILITATIVE INDUSTRIES & DIVERSIFIED ENTERPRISES
12425 28TH ST. N.
SUITE 300
SAINT PETERSBURG, FL33716
Phone: 727-556-3300
Fax: 727-570-3449
Website:
Specialty Taxonomy Code
* Dental Laboratory 292200000X

* Indicates primary specialty

NPI Profile & details for PRISON REHABILITATIVE INDUSTRIES & DIVERSIFIED ENTERPRISES

NPI Number 1275834129
Legal business name
LBN
PRISON REHABILITATIVE INDUSTRIES & DIVERSIFIED ENTERPRISES
Authorized official DENISE KIMINKI - (ASSISTANT SECRETARY TO THE BOARD)
Entity Organization
Organization subpart No
Enumeration date 11/09/2010
Last updated 11/09/2010 - About 16 years ago
Sole proprietor1 Not specified
Identifiers n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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