Blossom Smile Dental, Pllc

LBN: Blossom Smile Dental, Pllc
Blossom Smile Dental, Pllc is an health care organization with primary practice located at 305 W Euless Blvd Ste 100 , Euless TX 76040-3842. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Blossom Smile Dental, Pllc can be contacted via phone (817) 793-0013, or through Le, Brian via phone (817) 786-8621.

Contact Information

Primary practice address
305 W Euless Blvd Ste 100 Euless TX 76040-3842
Phone: (817) 793-0013
Fax: (888) 600-6547
Website:
Map and Directions
Authorized official contact:
Name: Le, Brian Doctor of Dental Surgery (DDS)
Phone: (817) 786-8621

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X

Profile Details

NPI number 1285159137
LBN Legal business name Blossom Smile Dental, Pllc
DBA Doing business as
Authorized official Le, Brian Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 11th, 2017
Last updated Mar 1st, 2018 - about 6 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 1285159137 NPPES
Texas MEDICAID 158687715

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