Provider Demographics
NPI:1538765144
Name:HMC DENTAL SERVICES, INC
Entity type:Organization
Organization Name:HMC DENTAL SERVICES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:GENRAL MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:JOSE
Authorized Official - Middle Name:
Authorized Official - Last Name:ARTICA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:813-499-1500
Mailing Address - Street 1:6607 N DALE MABRY HWY
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33614-3985
Mailing Address - Country:US
Mailing Address - Phone:813-499-1500
Mailing Address - Fax:
Practice Address - Street 1:6607 N DALE MABRY HWY
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33614-3985
Practice Address - Country:US
Practice Address - Phone:813-499-1500
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-12-09
Last Update Date:2020-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLDN20482OtherDENTIST