Children'S Dental Services Of Texas, Pllc
LBN: Children'S Dental Services Of Texas, Pllc
Children'S Dental Services Of Texas, Pllc is an health care organization with primary practice located at 4545 Bellaire Dr S Ste 4 , Fort Worth TX 76109-1811. The organization recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as the primary health care specialty.
Children'S Dental Services Of Texas, Pllc can be contacted via phone (817) 731-8600, or through Zimmerman, Jason A via phone (817) 731-8600.
Contact Information
Primary practice address
4545 Bellaire Dr S Ste 4
Fort Worth TX 76109-1811
Phone: (817) 731-8600
Fax: (817) 207-0719
Website:
Authorized official contact:
Name: Zimmerman, Jason A Doctor of Dental Surgery (DDS)
Phone: (817) 731-8600
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Pediatric Dentistry | 1223P0221X | 20465 | Texas |
| Dental Providers / Pediatric Dentistry | 1223P0221X |
Profile Details
| NPI number | 1699090100 |
|---|---|
| LBN Legal business name | Children'S Dental Services Of Texas, Pllc |
| DBA Doing business as | |
| Authorized official | Zimmerman, Jason A Doctor of Dental Surgery (DDS) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Mar 29th, 2010 |
| Last updated | Nov 2nd, 2022 - about 2 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1699090100 | NPPES |
| Texas | MEDICAID | 210915901 |
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