Braces On The Brazos Pllc

LBN: Braces On The Brazos Pllc
Braces On The Brazos Pllc is an health care organization with primary practice located at 1116 N Meadows Dr , Granbury TX 76048-1717. The organization recently has only one registered license in Dental Providers / Orthodontics and Dentofacial Orthopedics, which is considered as the primary health care specialty. Braces On The Brazos Pllc can be contacted via phone (817) 573-4746, or through Clark, Keith Lee via phone (318) 455-1121.

Contact Information

Primary practice address
1116 N Meadows Dr Granbury TX 76048-1717
Fax:
Website:
Authorized official contact:
Name: Clark, Keith Lee Doctor of Dental Surgery (DDS)

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Orthodontics and Dentofacial Orthopedics 1223X0400X

Profile Details

NPI number 1205392263
LBN Legal business name Braces On The Brazos Pllc
DBA Doing business as
Authorized official Clark, Keith Lee Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 14th, 2019
Last updated Mar 2nd, 2023 - about last year

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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