Cementum Llc

LBN: Cementum Llc
Cementum Llc is an health care organization with primary practice located at 3205 N University Dr Ste B , Nacogdoches TX 75965-2683. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Cementum Llc can be contacted via phone (936) 657-0110, or through Bateman, Kelly Ann via phone (936) 657-0110.

Contact Information

Primary practice address
3205 N University Dr Ste B Nacogdoches TX 75965-2683
Phone: (936) 657-0110
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Bateman, Kelly Ann Doctor of Dental Medicine (DMD)
Phone: (936) 657-0110

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X

Profile Details

NPI number 1811577455
LBN Legal business name Cementum Llc
DBA Doing business as
Authorized official Bateman, Kelly Ann Doctor of Dental Medicine (DMD)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 8th, 2021
Last updated Apr 8th, 2021 - about 3 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 1811577455 NPPES
Texas MEDICAID 1801104427

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