Butterfly Pediatric Dentistry

LBN: Butterfly Pediatric Dentistry
Butterfly Pediatric Dentistry is an health care organization with primary practice located at 4201 Marathon Blvd Suite 302, Austin TX 78756-3436. The organization recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as the primary health care specialty. Butterfly Pediatric Dentistry can be contacted via phone (512) 206-2929, or through Jahadi, Pooneh via phone (512) 206-2929.

Contact Information

Primary practice address
4201 Marathon Blvd Suite 302 Austin TX 78756-3436
Fax:
Website:
Authorized official contact:
Name: Jahadi, Pooneh PHD

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Pediatric Dentistry 1223P0221X

Profile Details

NPI number 1386800738
LBN Legal business name Butterfly Pediatric Dentistry
DBA Doing business as
Authorized official Jahadi, Pooneh PHD
Entity Organization
Organization subpart 1 No
Enumeration date Aug 5th, 2008
Last updated Aug 5th, 2008 - about 16 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 1386800738 NPPES
Texas MEDICAID 174364301

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