Grand Prairie Marvel Dental Pllc

LBN: Grand Prairie Marvel Dental Pllc
Grand Prairie Marvel Dental Pllc is an health care organization with primary practice located at 5020 S Hwy 360 Suite 200, Grand Prairie TX 75052. The organization recently has only one registered license in Ambulatory Health Care Facilities / Dental, which is considered as the primary health care specialty. Grand Prairie Marvel Dental Pllc can be contacted via phone (817) 933-3883, or through Oza, Jay via phone (201) 744-0760.

Contact Information

Primary practice address
5020 S Hwy 360 Suite 200 Grand Prairie TX 75052
Phone: (817) 933-3883
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Oza, Jay
Phone: (201) 744-0760

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Dental 261QD0000X

Profile Details

NPI number 1629586797
LBN Legal business name Grand Prairie Marvel Dental Pllc
DBA Doing business as
Authorized official Oza, Jay
Entity Organization
Organization subpart 1 No
Enumeration date Jan 11th, 2018
Last updated Jan 11th, 2018 - about 6 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 1629586797 NPPES
Texas MEDICAID 28081

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