Caprock Oral & Maxillofacial Surgery, P.A.
LBN: Gladys J. Whitten, Dmd, Pa
Caprock Oral & Maxillofacial Surgery, P.A. is an health care organization with primary practice located at 5730 66Th St Suite 2, Lubbock TX 79424-1224. The organization recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as the primary health care specialty.
Gladys J. Whitten, Dmd, Pa can be contacted via phone (806) 535-0238, or through Whitten, Gladys Johnson via phone (806) 535-0238.
Contact Information
Primary practice address
5730 66Th St Suite 2
Lubbock TX 79424-1224
Phone: (806) 535-0238
Fax: (806) 794-0025
Website:
Authorized official contact:
Name: Whitten, Gladys Johnson Doctor of Dental Medicine (DMD)
Phone: (806) 535-0238
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | 11953 | Texas |
Profile Details
| NPI number | 1831324052 |
|---|---|
| LBN Legal business name | Gladys J. Whitten, Dmd, Pa |
| DBA Doing business as | Caprock Oral & Maxillofacial Surgery, P.A. |
| Authorized official | Whitten, Gladys Johnson Doctor of Dental Medicine (DMD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | May 18th, 2009 |
| Last updated | Oct 1st, 2014 - about 10 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 | 1831324052 | NPPES |
| Texas | MEDICAID | 090259503 |
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