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
Fax: (903) 581-9571
Website:
Authorized official contact:
Name: Boren, Culberson Reeves Doctor of Dental Surgery (DDS)

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1033411962 NPPES
Texas MEDICAID 008045901

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