Bailey, Philip Morris

Bailey, Philip Morris is an sole proprietor health care provider with primary practice located at 750 Mid Cities Blvd , Hurst TX 76054-2792. He recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as his primary health care specialty. Bailey, Philip Morris can be contacted via phone (817) 427-1700.

Contact Information

Primary practice address
750 Mid Cities Blvd Hurst TX 76054-2792
Fax: (817) 427-1703
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Pediatric Dentistry 1223P0221X 8178 Texas

Profile Details

NPI number 1205832250
LBN Legal business name Bailey, Philip Morris
Credentials D.D.S., M.S.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 23rd, 2005
Last updated May 27th, 2011 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1205832250 NPPES
Texas MEDICAID 126739504

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