Fresh Dental & Orthodontics

LBN: Fresh Dental Pllc
Fresh Dental & Orthodontics is an health care organization with primary practice located at 3873 Hwy 64 W , Tyler TX 75704-6925. The organization recently has only one registered license in Dental Providers / Dentist, which is considered as the primary health care specialty. Fresh Dental Pllc can be contacted via phone (972) 869-3789, or through Pu, Mary via phone (972) 869-3789.

Contact Information

Primary practice address
3873 Hwy 64 W Tyler TX 75704-6925
Phone: (972) 869-3789
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Pu, Mary
Phone: (972) 869-3789

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X

Profile Details

NPI number 1093000804
LBN Legal business name Fresh Dental Pllc
DBA Doing business as Fresh Dental & Orthodontics
Authorized official Pu, Mary
Entity Organization
Organization subpart 1 No
Enumeration date Jun 9th, 2011
Last updated Apr 25th, 2023 - about last year

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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