Fresh Dental-Shreveport

LBN: Fresh Dental-Shreveport
Fresh Dental-Shreveport is an health care organization with primary practice located at 7301 State Highway 161 Ste 198 , Irving TX 75039-2880. The organization recently has only one registered license in Dental Providers / Dentist, which is considered as the primary health care specialty. Fresh Dental-Shreveport can be contacted via phone (972) 869-3789, or through Pu, Mary via phone (972) 869-3789.

Contact Information

Primary practice address
7301 State Highway 161 Ste 198 Irving TX 75039-2880
Phone: (972) 869-3789
Fax: (972) 869-3791
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 1073880639
LBN Legal business name Fresh Dental-Shreveport
DBA Doing business as
Authorized official Pu, Mary
Entity Organization
Organization subpart 1 No
Enumeration date Nov 28th, 2011
Last updated Nov 28th, 2011 - about 13 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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