Drs Hyde Bailey Miller Ptr North
LBN: Fundentist-North
Drs Hyde Bailey Miller Ptr North is an health care organization with primary practice located at 801 W. Road To Six Flags Suite 101, Arlington TX 76012. The organization recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / Pediatric Dentistry. Dental Providers / Pediatric Dentistry is the primary health care specialty.
Fundentist-North can be contacted via phone (817) 459-1313, or through Miller, Charles W. via phone (817) 478-2300.
Contact Information
Primary practice address
801 W. Road To Six Flags Suite 101
Arlington TX 76012
Phone: (817) 459-1313
Fax: (817) 549-8970
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | ||
| Dental Providers / Pediatric Dentistry | 1223P0221X | 9223 | Texas |
| Dental Providers / Pediatric Dentistry | 1223P0221X |
Profile Details
| NPI number | 1306953906 |
|---|---|
| LBN Legal business name | Fundentist-North |
| DBA Doing business as | Drs Hyde Bailey Miller Ptr North |
| Authorized official | Miller, Charles W. DDS, MS |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Aug 23rd, 2006 |
| Last updated | Jan 30th, 2023 - about 2 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 | 1306953906 | NPPES |
| Texas | MEDICAID | 009668701 |
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