BEAN SPROUT INC NPI 1942698204

NPI Information

NPI: 1942698204
Provider Name: BEAN SPROUT INC

Doing Business As: BEAN TREE PEDIATRIC DENTISTRY

Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

Address:
2008 RIVERSIDE AVE
SUITE 101
JACKSONVILLE, FL
ZIP 32204
Phone: (904) 372-3260
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BEAN SPROUT INC is a dental clinic center in Jacksonville, FL. BEAN SPROUT INC NPI is 1942698204. The provider is registered as an organization entity type.
The provider Is Doing Business As Bean Tree Pediatric Dentistry.

The provider's business location address is:

2008 RIVERSIDE AVE
SUITE 101
JACKSONVILLE, FL
ZIP 32204-443
Phone: (904) 372-3260
Fax: (904) 385-3704

The provider's authorized official is Jodi Mason .
The authorized official title is Pediatric Dentist and has the following contact phone number (904) 372-3260.

The enumeration date for this NPI number is 1/8/2015 and was last updated on 1/8/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QD0000X	Clinic/Center	Dental	17658	FLORIDA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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