Blu Dental Group Pc

LBN: Blu Dental Group Pc
Blu Dental Group Pc is an health care organization with primary practice located at 3975 Old Jacksonville Rd , Tyler TX 75701-8519. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Blu Dental Group Pc can be contacted via phone (972) 416-2700, or through Kim, Tori via phone (213) 300-0506.

Contact Information

Primary practice address
3975 Old Jacksonville Rd Tyler TX 75701-8519
Phone: (972) 416-2700
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Kim, Tori
Phone: (213) 300-0506

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X

Profile Details

NPI number 1326559022
LBN Legal business name Blu Dental Group Pc
DBA Doing business as
Authorized official Kim, Tori
Entity Organization
Organization subpart 1 No
Enumeration date Oct 20th, 2017
Last updated Oct 20th, 2017 - about 7 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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