National Provider Identifier Database

SURFSIDE DENTAL CENTER PA
Preferred Provider Organization

A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level.


Contact Information

SURFSIDE DENTAL CENTER, PA.
630-7 ATLANTIC BLVD.
NEPTUNE BEACH, FL32266
Phone: 904-247-2626
Fax: 904-247-2291
Website:
Specialty Taxonomy Code
* Preferred Provider Organization 305R00000X
Point of Service 305S00000X

* Indicates primary specialty

NPI Profile & details for SURFSIDE DENTAL CENTER, PA.

NPI Number 1740614775
Legal business name
LBN
SURFSIDE DENTAL CENTER, PA.
Authorized official CRYSTAL LESS - (VP OF OPERATIONS)
Entity Organization
Organization subpart No
Enumeration date 08/27/2013
Last updated 01/23/2015 - About 11 years ago
Sole proprietor1 Not specified
Identifiers
  • FL License #: DN15716

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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