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:
Map and Directions
Authorized official contact:
Name: Le, Brian T. Doctor of Dental Surgery (DDS)
Phone: (817) 426-3331

Health care specialties

SpecialtyCodeLicense #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 16 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 1508037128 NPPES
Texas MEDICAID 1730177619

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