Concho Valley Family Dental

LBN: Concho Valley Family Dental
Concho Valley Family Dental is an health care organization with primary practice located at 2102 Pecos St Ste 1 , San Angelo TX 76901-3061. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Concho Valley Family Dental can be contacted via phone (325) 944-4984, or through Fandel, Jay via phone (602) 466-5687.

Contact Information

Primary practice address
2102 Pecos St Ste 1 San Angelo TX 76901-3061
Phone: (325) 944-4984
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Fandel, Jay Doctor of Dental Medicine (DMD)
Phone: (602) 466-5687

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X

Profile Details

NPI number 1083337240
LBN Legal business name Concho Valley Family Dental
DBA Doing business as
Authorized official Fandel, Jay Doctor of Dental Medicine (DMD)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 22nd, 2022
Last updated Sep 22nd, 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.

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