Austin Central Park Pediatric Dentistry

LBN: Daniel Crandall Johnson
Austin Central Park Pediatric Dentistry is an health care organization with primary practice located at 1005 W 38Th St Ste 200 , Austin TX 78705-1042. The organization recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as the primary health care specialty. Daniel Crandall Johnson can be contacted via phone (512) 330-4624, or through Johnson, Daniel Crandall via phone (512) 330-4624.

Contact Information

Primary practice address
1005 W 38Th St Ste 200 Austin TX 78705-1042
Phone: (512) 330-4624
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Johnson, Daniel Crandall Doctor of Dental Surgery (DDS)
Phone: (512) 330-4624

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Pediatric Dentistry 1223P0221X 28784 Texas

Profile Details

NPI number 1639597222
LBN Legal business name Daniel Crandall Johnson
DBA Doing business as Austin Central Park Pediatric Dentistry
Authorized official Johnson, Daniel Crandall Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 1st, 2014
Last updated Apr 1st, 2014 - about 11 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 1639597222 NPPES
Other 1619250123 INDIVIDUAL NPI
MEDICAID 3194185-03 INDIVIDUAL NPI

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