Randolph Family Dental

LBN: Fortuna A. Vardeman, Dds, Pc
Randolph Family Dental is an health care organization with primary practice located at 651 S Walnut Ave Ste B , New Braunfels TX 78130-5764. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Fortuna A. Vardeman, Dds, Pc can be contacted via phone (830) 625-1400, or through Vardeman, Fortuna Alapag via phone (830) 625-1400.

Contact Information

Primary practice address
651 S Walnut Ave Ste B New Braunfels TX 78130-5764
Phone: (830) 625-1400
Fax: (830) 625-9031
Website:
Map and Directions
Authorized official contact:
Name: Vardeman, Fortuna Alapag Doctor of Dental Surgery (DDS)
Phone: (830) 625-1400

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 18827 Texas

Profile Details

NPI number 1407163900
LBN Legal business name Fortuna A. Vardeman, Dds, Pc
DBA Doing business as Randolph Family Dental
Authorized official Vardeman, Fortuna Alapag Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 Yes
Enumeration date Sep 3rd, 2010
Last updated Sep 15th, 2010 - about 14 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 1407163900 NPPES
Texas MEDICAID 091264401

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