920 North Main Street Professional, Pllc

LBN: 920 North Main Street Professional, Pllc
920 North Main Street Professional, Pllc is an health care organization with primary practice located at 920 N Main St , Taylor TX 76574-3230. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. 920 North Main Street Professional, Pllc can be contacted via phone (512) 352-5577, or through Grumbos, Peter via phone (512) 352-5577.

Contact Information

Primary practice address
920 N Main St Taylor TX 76574-3230
Phone: (512) 352-5577
Fax: (512) 352-7416
Website:
Map and Directions
Authorized official contact:
Name: Grumbos, Peter Doctor of Dental Medicine (DMD)
Phone: (512) 352-5577

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X

Profile Details

NPI number 1346867926
LBN Legal business name 920 North Main Street Professional, Pllc
DBA Doing business as
Authorized official Grumbos, Peter Doctor of Dental Medicine (DMD)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 30th, 2020
Last updated Jun 30th, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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