Canyon Creek Family Dentistry, P.A.
LBN: Canyon Creek Family Dentistry, P.A.
Canyon Creek Family Dentistry, P.A. is an health care organization with primary practice located at 2091 N Collins Blvd Ste 100 , Richardson TX 75080-2636. The organization recently has 2 registered licenses in different health care specialties including Dental Providers / General Practice, Dental Providers / Pediatric Dentistry. Dental Providers / General Practice is the primary health care specialty.
Canyon Creek Family Dentistry, P.A. can be contacted via phone (972) 644-3800, or through Azmoodeh, Afshin via phone (972) 644-3800.
Contact Information
Primary practice address
2091 N Collins Blvd Ste 100
Richardson TX 75080-2636
Phone: (972) 644-3800
Fax: (972) 644-3888
Website:
Authorized official contact:
Name: Azmoodeh, Afshin Doctor of Dental Surgery (DDS)
Phone: (972) 644-3800
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 20074 | Texas |
| Dental Providers / Pediatric Dentistry | 1223P0221X | 24260 | Texas |
Profile Details
| NPI number | 1659502730 |
|---|---|
| LBN Legal business name | Canyon Creek Family Dentistry, P.A. |
| DBA Doing business as | |
| Authorized official | Azmoodeh, Afshin Doctor of Dental Surgery (DDS) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Aug 6th, 2009 |
| Last updated | Aug 6th, 2009 - about 15 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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