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Contact Information

AMANDO DENTAL CORPORATION
4540 SOUTHSIDE BLVD
SUITE 801
JACKSONVILLE, FL32216-5492
 Phone: 904-642-2010
 Fax: 904-642-8282
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Preferred Provider Organization

305R00000X
Indicates primary specialty

NPI Profile & details for AMANDO DENTAL CORPORATION

NPI Number 1275739237
LBN Legal business name AMANDO DENTAL CORPORATION
Authorized official CRYSTAL LESS - (VP OF OPERATIONS)
Entity Organization
Organization subpart 1 No
Enumeration date 06/26/2007
Last updated 01/26/2015 - About 11 years ago
Identifiers
FL License # DN15716
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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