Provider Demographics
NPI:1962252973
Name:DENTISTRY ONSITE, LLC
Entity type:Organization
Organization Name:DENTISTRY ONSITE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER DENTIST
Authorized Official - Prefix:
Authorized Official - First Name:NICHOLAS
Authorized Official - Middle Name:
Authorized Official - Last Name:LETTERI
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:813-760-7848
Mailing Address - Street 1:12260 HIGH LAUREL DR
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32225-4508
Mailing Address - Country:US
Mailing Address - Phone:813-760-7848
Mailing Address - Fax:
Practice Address - Street 1:12260 HIGH LAUREL DR
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32225-4508
Practice Address - Country:US
Practice Address - Phone:813-760-7848
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-03-25
Last Update Date:2024-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental