Dental Studio

LBN: Dental Studio
Dental Studio is an health care organization with primary practice located at 1671 Main St Ste B , Buda TX 78610-9732. The organization recently has only one registered license in Dental Providers / Dentist, which is considered as the primary health care specialty. Dental Studio can be contacted via phone (512) 295-5777, or through Koeppen, Ross M via phone (512) 295-5777.

Contact Information

Primary practice address
1671 Main St Ste B Buda TX 78610-9732
Phone: (512) 295-5777
Fax: (512) 295-5030
Website:
Map and Directions
Authorized official contact:
Name: Koeppen, Ross M Doctor of Dental Surgery (DDS)
Phone: (512) 295-5777

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 0025123 Texas

Profile Details

NPI number 1073834586
LBN Legal business name Dental Studio
DBA Doing business as
Authorized official Koeppen, Ross M Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 18th, 2010
Last updated Apr 21st, 2015 - about 9 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 1073834586 NPPES
Texas MEDICAID 213024701

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