Dentrust Dental Texas, P.C.

LBN: Dentrust Dental Texas, P.C.
Dentrust Dental Texas, P.C. is an health care organization with primary practice located at 4250 Clear Creek Rd #213, Ft. Hood TX 76544. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Dentrust Dental Texas, P.C. can be contacted via phone (254) 423-9234, or through Clark, Amanda Anne via phone (267) 927-5000.

Contact Information

Primary practice address
4250 Clear Creek Rd #213 Ft. Hood TX 76544
Fax: (254) 312-7441
Website:
Authorized official contact:
Name: Clark, Amanda Anne

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X

Profile Details

NPI number 1407521180
LBN Legal business name Dentrust Dental Texas, P.C.
DBA Doing business as
Authorized official Clark, Amanda Anne
Entity Organization
Organization subpart 1 Yes
Enumeration date Aug 13th, 2021
Last updated Aug 13th, 2021 - about 3 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 1407521180 NPPES
Texas Other 18598 LC LICENSE

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