W&J DENTAL LLC – NPI #1619633815
Clinic/Center

W&J DENTAL LLC is an AHC clinic located in ORLANDO, FL. NPPES has assigned the NPI number 1619633815 to W&J DENTAL LLC on November 11, 2021. 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 5 years ago on Nov 15, 2021. 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 W&J DENTAL LLC below.

NPI Profile for
W&J DENTAL LLC

NPI Number
1619633815
Enumeration Date

(more than 4 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
W&J DENTAL LLC
Primary location
10231 E COLONIAL DR
ORLANDO, FL 32817-4353
Phone: (407) 985-2885 Fax: (407) 985-2887
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
JOOD BAZERBASHI
MANAGER
Phone: (832) 661-8720
Updated
Certification Date
Nov 15, 2021

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for W&J DENTAL LLC

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDFL1093317703
MEDICAIDFL1518048065
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)

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.