Brant Boling, Dds, Pllc

LBN: Brant Boling, Dds, Pllc
Brant Boling, Dds, Pllc is an health care organization with primary practice located at 1429 Clear Lake Rd Ste 700 , Weatherford TX 76086-5805. The organization recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as the primary health care specialty. Brant Boling, Dds, Pllc can be contacted via phone (817) 598-0835, or through Boling, Brant via phone (817) 598-0835.

Contact Information

Primary practice address
1429 Clear Lake Rd Ste 700 Weatherford TX 76086-5805
Phone: (817) 598-0835
Fax: (817) 598-0845
Website:
Map and Directions
Authorized official contact:
Name: Boling, Brant Doctor of Dental Surgery (DDS)
Phone: (817) 598-0835

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Pediatric Dentistry 1223P0221X 019240 Texas

Profile Details

NPI number 1790916146
LBN Legal business name Brant Boling, Dds, Pllc
DBA Doing business as
Authorized official Boling, Brant Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 3rd, 2009
Last updated Jan 20th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1790916146 NPPES
Texas MEDICAID 1962664-04

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