Active NPIOrganization

Champion Dental PC

Dentist in Vega Alta, Puerto Rico

NPI Number1366809725
Practice location
Carretera 693 Km 13.7, Plaza Del Mar Sopping C Suite 201B, Vega Alta, PR 00646
Fax
—
Last updated
January 15, 2016

Champion Dental PC is a healthcare organization based in Vega Alta, PR. Champion Dental PC practices in Vega Alta, PR. The NPI Number for Champion Dental PC is 1366809725 and holds a License No. 3179 (PR). The current practice location address for Champion Dental PC is Carretera 693 Km 13.7, Plaza Del Mar Sopping C Suite 201B, Vega Alta, PR 00646 and can be reached out via phone at 787-369-7600.

Provider Profile Details

NPI Number
1366809725
Provider Name
Champion Dental PC
Provider Entity Type
Organization
Address
Carretera 693 Km 13.7, Plaza Del Mar Sopping C Suite 201B, Vega Alta, PR 00646
Phone Number
787-369-7600
Primary Taxonomy
Dentist · 122300000X
Organization Subpart
No
Authorized Official
Derrick Champion, DDS · Dentist/Owner · 787-369-7600
Provider Enumeration Date
January 15, 2016
Last Update Date
January 15, 2016
NPI Status
Active

Provider Business Practice Location Address Details

Address
Carretera 693 Km 13.7
Plaza Del Mar Sopping C Suite 201B
Vega Alta, PR 00646
Zip
00646
Phone Number
787-369-7600
Vega Alta, PR 00646Get directions →

Provider Business Mailing Address Details

Address
207 Calle Metis
Dorado, PR 00646-4618
City
Dorado
State
PR
Zip
00646-4618
Phone Number
787-369-7600

License Information

License Number
3179
License State
PR
Taxonomy
Dentist · 122300000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Champion Dental PC?

The NPI number of Champion Dental PC is 1366809725. It was assigned on January 15, 2016 and is currently active in the NPPES registry.

What is the specialty of Champion Dental PC?

Champion Dental PC is registered under the primary taxonomy Dentist (code 122300000X), licensed in PR under license number 3179.

Where does Champion Dental PC practice?

The practice location is Carretera 693 Km 13.7, Plaza Del Mar Sopping C Suite 201B, Vega Alta, PR 00646. The office can be reached at 787-369-7600 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1366809725 directly on the NPPES registry website.

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