Great Southwest Family Dental Pa

LBN: Great Southwest Family Dental Pa
Great Southwest Family Dental Pa is an health care organization with primary practice located at 2308 Bardin Rd Ste 100 , Grand Prairie TX 75052-3857. The organization recently has only one registered license in Ambulatory Health Care Facilities / Dental, which is considered as the primary health care specialty. Great Southwest Family Dental Pa can be contacted via phone (972) 660-8457, or through Truong, Chris Hung via phone (972) 660-8457.

Contact Information

Primary practice address
2308 Bardin Rd Ste 100 Grand Prairie TX 75052-3857
Phone: (972) 660-8457
Fax: (469) 660-0100
Website:
Map and Directions
Authorized official contact:
Name: Truong, Chris Hung Doctor of Dental Surgery (DDS)
Phone: (972) 660-8457

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Dental 261QD0000X

Profile Details

NPI number 1932754520
LBN Legal business name Great Southwest Family Dental Pa
DBA Doing business as
Authorized official Truong, Chris Hung Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 9th, 2019
Last updated Aug 9th, 2019 - 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 1932754520 NPPES
Texas MEDICAID 142310512

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