Dentistry For Children
LBN: Culberson R. Boren, D.D.S., P.A.
Dentistry For Children is an health care organization with primary practice located at 7916 S Broadway Ave Ste 150, Tyler TX 75703-5274. The organization recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as the primary health care specialty.
Culberson R. Boren, D.D.S., P.A. can be contacted via phone (903) 581-2198, or through Boren, Culberson Reeves via phone (903) 581-2198.
Contact Information
Primary practice address
7916 S Broadway Ave Ste 150
Tyler TX 75703-5274
Phone: (903) 581-2198
Fax: (903) 581-9571
Website:
Authorized official contact:
Name: Boren, Culberson Reeves Doctor of Dental Surgery (DDS)
Phone: (903) 581-2198
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Dental Providers / Pediatric Dentistry | 1223P0221X | 13063 | Texas |
Profile Details
NPI number | 1033411962 |
---|---|
LBN Legal business name | Culberson R. Boren, D.D.S., P.A. |
DBA Doing business as | Dentistry For Children |
Authorized official | Boren, Culberson Reeves Doctor of Dental Surgery (DDS) |
Entity | Organization |
Organization subpart 1 | No |
Enumeration date | Nov 29th, 2010 |
Last updated | Aug 14th, 2012 - about 12 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 | 1033411962 | NPPES |
Texas | MEDICAID | 008045901 |
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