Fusion Dental- Hewitt Pllc

LBN: Fusion Dental- Hewitt Pllc
Fusion Dental- Hewitt Pllc is an health care organization with primary practice located at 1605 Hewitt Dr. Suite 102, Waco TX 76712. The organization recently has only one registered license in Ambulatory Health Care Facilities / Dental, which is considered as the primary health care specialty. Fusion Dental- Hewitt Pllc can be contacted via phone (254) 799-4867, or through Jeffcoat, Angela via phone (254) 799-4867.

Contact Information

Primary practice address
1605 Hewitt Dr. Suite 102 Waco TX 76712
Phone: (254) 799-4867
Fax: (254) 799-4872
Website:
Map and Directions
Authorized official contact:
Name: Jeffcoat, Angela
Phone: (254) 799-4867

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Dental 261QD0000X 27552 Texas

Profile Details

NPI number 1114441755
LBN Legal business name Fusion Dental- Hewitt Pllc
DBA Doing business as
Authorized official Jeffcoat, Angela
Entity Organization
Organization subpart 1 No
Enumeration date Jul 26th, 2017
Last updated Jul 26th, 2017 - about 8 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 1114441755 NPPES
Texas MEDICAID 288519603

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