Dazzle Dental Care, Pa

LBN: Dazzle Dental Care, Pa
Dazzle Dental Care, Pa is an health care organization with primary practice located at 1121 Flower Mound Rd Suite 500, Flower Mound TX 75028-3504. The organization recently has only one registered license in Dental Providers / Dentist, which is considered as the primary health care specialty. Dazzle Dental Care, Pa can be contacted via phone (972) 355-8568, or through Nguyen, Johnie M via phone (972) 355-8568.

Contact Information

Primary practice address
1121 Flower Mound Rd Suite 500 Flower Mound TX 75028-3504
Phone: (972) 355-8568
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Nguyen, Johnie M Doctor of Dental Surgery (DDS)
Phone: (972) 355-8568

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 22585 Texas

Profile Details

NPI number 1043479066
LBN Legal business name Dazzle Dental Care, Pa
DBA Doing business as
Authorized official Nguyen, Johnie M Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 5th, 2008
Last updated Apr 25th, 2011 - about 13 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 1043479066 NPPES
Texas MEDICAID 201339301

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