Chavez, Roxana
Chavez, Roxana is an individual health care provider with primary practice located at 2644 N Belt Line Rd , Irving TX 75062-5245. She recently has 2 registered licenses in different health care specialties including Dental Providers / Oral and Maxillofacial Radiology, Dental Providers / Dentist. Dental Providers / Dentist is her primary health care specialty. Chavez, Roxana can be contacted via phone (972) 455-8147.Contact Information
Primary practice address
2644 N Belt Line Rd
Irving TX 75062-5245
Phone: (972) 455-8147
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Dental Providers / Oral and Maxillofacial Radiology | 1223X0008X | 36396 | Texas |
Dental Providers / Dentist | 122300000X | 36396 | Texas |
Profile Details
NPI number | 1720697659 |
---|---|
LBN Legal business name | Chavez, Roxana |
Credentials | Doctor of Dental Surgery (DDS) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jul 27th, 2020 |
Last updated | Jun 27th, 2024 - about 5 months ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1720697659 | NPPES |
Texas | MEDICAID | 416510201 |
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