AJL DENTAL – NPI #1104213099
Clinic/Center

AJL DENTAL is an AHC clinic located in PENUELAS, PR. NPPES has assigned the NPI number 1104213099 to AJL DENTAL on April 20, 2015. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QD0000X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Dental

The NPI profile was previously updated about 8 years ago on May 21, 2018. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for AJL DENTAL below.

NPI Profile for
AJL DENTAL

NPI Number
1104213099
Enumeration Date

(more than 11 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
AJL DENTAL
Primary location
607 CALLE DR LOYOLA
PENUELAS, PR 00624
Phone: (787) 464-4142 Fax:
1 Other location(s):
22 Calle 25 De Julio
Guanica, PR 00653-2110
Phone: (787) 464-4142
Mailing address
22 CALLE 25 DE JULIO
GUANICA, PR 00653-2110
Phone: (787) 464-7980 Fax:
Organization Subpart
No
Authorized Official
KATHY BRAYFIELD
PRESIDENT
Phone: (787) 836-2424
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QD0000X
- Clinic/Center / Dental (Primary)		 PR 1585

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.