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:
Map and Directions
Authorized official contact:
Name: Miller, Charles W. DDS, MS
Phone: (817) 478-2300

Health care specialties

SpecialtyCodeLicense #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 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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Identifiers

StateTypeNumberIssuer
All States NPI 1306953906 NPPES
Texas MEDICAID 009668701

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