Alpha First Dental Clinic P.A

LBN: Alpha First Dental Clinic P.A
Alpha First Dental Clinic P.A is an health care organization with primary practice located at 5605 Old Bullard Rd Ste A , Tyler TX 75703-4306. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Alpha First Dental Clinic P.A can be contacted via phone (903) 747-3919, or through Ihionkhan, Omowumi Akhuini via phone (903) 242-9777.

Contact Information

Primary practice address
5605 Old Bullard Rd Ste A Tyler TX 75703-4306
Phone: (903) 747-3919
Fax: (903) 212-4210
Website:
Map and Directions
Authorized official contact:
Name: Ihionkhan, Omowumi Akhuini Doctor of Dental Surgery (DDS)
Phone: (903) 242-9777

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 20172 Texas

Profile Details

NPI number 1720325418
LBN Legal business name Alpha First Dental Clinic P.A
DBA Doing business as
Authorized official Ihionkhan, Omowumi Akhuini Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 15th, 2013
Last updated Jul 29th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1720325418 NPPES
Texas MEDICAID 3140113-01

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