Facial And Oral Surgery Associates, Pllc
LBN: Facial And Oral Surgery Associates, Pllc
Facial And Oral Surgery Associates, Pllc is an health care organization with primary practice located at 1625 Saint Louis Ave , Fort Worth TX 76104-7635. The organization recently has 2 registered licenses in different health care specialties including Dental Providers / Oral and Maxillofacial Pathology, Dental Providers / Oral and Maxillofacial Surgery. Dental Providers / Oral and Maxillofacial Surgery is the primary health care specialty.
Facial And Oral Surgery Associates, Pllc can be contacted via phone (817) 927-1325, or through Stella, John P. via phone (817) 927-1325.
Contact Information
Primary practice address
1625 Saint Louis Ave
Fort Worth TX 76104-7635
Phone: (817) 927-1325
Fax: (817) 927-1497
Website:
Authorized official contact:
Name: Stella, John P. Doctor of Dental Surgery (DDS)
Phone: (817) 927-1325
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Oral and Maxillofacial Pathology | 1223P0106X | ||
| Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X |
Profile Details
| NPI number | 1891918827 |
|---|---|
| LBN Legal business name | Facial And Oral Surgery Associates, Pllc |
| DBA Doing business as | |
| Authorized official | Stella, John P. Doctor of Dental Surgery (DDS) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Apr 10th, 2007 |
| Last updated | Jan 15th, 2014 - about 10 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1891918827 | NPPES |
| Texas | Other | 8116093 | BCBS-BLUE LINK |
| Texas | MEDICAID | 009690101 | BCBS-BLUE LINK |
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