Fall Creek Dental Pa

LBN: Fall Creek Dental Pa
Fall Creek Dental Pa is an health care organization with primary practice located at 5600 N Gate Rd Suite 103, Granbury TX 76049-3120. The organization recently has only one registered license in Dental Providers / Dentist, which is considered as the primary health care specialty. Fall Creek Dental Pa can be contacted via phone (817) 326-5717, or through Mcfadden, Katrina Ladawn via phone (817) 326-5717.

Contact Information

Primary practice address
5600 N Gate Rd Suite 103 Granbury TX 76049-3120
Phone: (817) 326-5717
Fax: (817) 326-5714
Website:
Map and Directions
Authorized official contact:
Name: Mcfadden, Katrina Ladawn Doctor of Dental Surgery (DDS)
Phone: (817) 326-5717

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 19566 Texas

Profile Details

NPI number 1649544966
LBN Legal business name Fall Creek Dental Pa
DBA Doing business as
Authorized official Mcfadden, Katrina Ladawn Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 5th, 2012
Last updated Mar 5th, 2012 - about 12 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 1649544966 NPPES
Texas MEDICAID 009483101
Texas Other B19566

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