Brident Dental Associates Pc

LBN: Brident Dental Associates Pc
Brident Dental Associates Pc is an health care organization with primary practice located at 815 E Berry St Ste B , Fort Worth TX 76110-4457. The organization recently has only one registered license in Dental Providers / Dentist, which is considered as the primary health care specialty. Brident Dental Associates Pc can be contacted via phone (817) 920-5919, or through Zamora, Maribel via phone (714) 571-3104.

Contact Information

Primary practice address
815 E Berry St Ste B Fort Worth TX 76110-4457
Phone: (817) 920-5919
Fax: (817) 920-5970
Website:
Map and Directions
Authorized official contact:
Name: Zamora, Maribel
Phone: (714) 571-3104

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X

Profile Details

NPI number 1376016469
LBN Legal business name Brident Dental Associates Pc
DBA Doing business as
Authorized official Zamora, Maribel
Entity Organization
Organization subpart 1 No
Enumeration date Jan 10th, 2019
Last updated Jan 10th, 2019 - about 5 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 1376016469 NPPES
Texas MEDICAID G60850

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