Sunshine Family Dentistry
LBN: Bernardino Octavio Elizondo D.D.S. P.C.
Sunshine Family Dentistry is an health care organization with primary practice located at 1389 W Us Highway 77 Suite E, San Benito TX 78586-4161. The organization recently has only one registered license in Dental Providers / Dentist, which is considered as the primary health care specialty.
Bernardino Octavio Elizondo D.D.S. P.C. can be contacted via phone (956) 399-9929, or through Elizondo, Bernardino Octavio via phone (956) 399-9929.
Contact Information
Primary practice address
1389 W Us Highway 77 Suite E
San Benito TX 78586-4161
Phone: (956) 399-9929
Fax: (956) 399-4855
Website:
Authorized official contact:
Name: Elizondo, Bernardino Octavio Doctor of Dental Surgery (DDS)
Phone: (956) 399-9929
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 19338 | Texas |
Profile Details
| NPI number | 1851404420 |
|---|---|
| LBN Legal business name | Bernardino Octavio Elizondo D.D.S. P.C. |
| DBA Doing business as | Sunshine Family Dentistry |
| Authorized official | Elizondo, Bernardino Octavio Doctor of Dental Surgery (DDS) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Aug 16th, 2006 |
| Last updated | Apr 23rd, 2010 - about 14 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1851404420 | NPPES |
| Texas | Other | G60092-01 | TEXAS CHIP |
| Texas | MEDICAID | 155609401 | TEXAS CHIP |
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