Crystal Dental Of Burleson
LBN: Crystal Dental Of Burleson
Crystal Dental Of Burleson is an health care organization with primary practice located at 664 Sw Wilshire Blvd , Burleson TX 76028-5851. The organization recently has 2 registered licenses in different health care specialties including Dental Providers / General Practice, Managed Care Organizations / Preferred Provider Organization. Managed Care Organizations / Preferred Provider Organization is the primary health care specialty.
Crystal Dental Of Burleson can be contacted via phone (817) 426-3331, or through Le, Brian T. via phone (817) 426-3331.
Contact Information
Primary practice address
664 Sw Wilshire Blvd
Burleson TX 76028-5851
Phone: (817) 426-3331
Fax: (817) 426-3337
Website:
Authorized official contact:
Name: Le, Brian T. Doctor of Dental Surgery (DDS)
Phone: (817) 426-3331
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 21298 | Texas |
| Managed Care Organizations / Preferred Provider Organization | 305R00000X | 21298 | Texas |
Profile Details
| NPI number | 1508037128 |
|---|---|
| LBN Legal business name | Crystal Dental Of Burleson |
| DBA Doing business as | |
| Authorized official | Le, Brian T. Doctor of Dental Surgery (DDS) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Mar 23rd, 2008 |
| Last updated | Jul 7th, 2009 - about 15 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 | 1508037128 | NPPES |
| Texas | MEDICAID | 1730177619 |
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