Bradford Legacy Dental

LBN: Bradford Legacy Dental
Bradford Legacy Dental is an health care organization with primary practice located at 4158 Swans Lndg , San Antonio TX 78217-4239. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Bradford Legacy Dental can be contacted via phone (210) 655-4867, or through Calderon, Gwendolyn via phone (210) 655-4867.

Contact Information

Primary practice address
4158 Swans Lndg San Antonio TX 78217-4239
Phone: (210) 655-4867
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Calderon, Gwendolyn Doctor of Dental Surgery (DDS)
Phone: (210) 655-4867

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X

Profile Details

NPI number 1932864634
LBN Legal business name Bradford Legacy Dental
DBA Doing business as
Authorized official Calderon, Gwendolyn Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 8th, 2021
Last updated Nov 8th, 2021 - about 3 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 1932864634 NPPES
Texas Other 1831602796 NPI
Texas Other 1396831681 NPI

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