Celebrity Dental Pc

LBN: Celebrity Dental Pc
Celebrity Dental Pc is an health care organization with primary practice located at 4808 S Buckner Blvd , Dallas TX 75227-2348. The organization recently has only one registered license in Dental Providers / Dentist, which is considered as the primary health care specialty. Celebrity Dental Pc can be contacted via phone (214) 388-4808, or through Garcia-Ibancovichi, Maria Elba via phone (214) 388-4808.

Contact Information

Primary practice address
4808 S Buckner Blvd Dallas TX 75227-2348
Phone: (214) 388-4808
Fax: (214) 388-4100
Website:
Map and Directions
Authorized official contact:
Name: Garcia-Ibancovichi, Maria Elba Doctor of Dental Surgery (DDS)
Phone: (214) 388-4808

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 16354 Texas

Profile Details

NPI number 1275821647
LBN Legal business name Celebrity Dental Pc
DBA Doing business as
Authorized official Garcia-Ibancovichi, Maria Elba Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 19th, 2011
Last updated Jul 19th, 2011 - about 13 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1275821647 NPPES
Texas MEDICAID 16354

Popular Providers