Healthy Smiles 4 Kids, Pc

LBN: Healthy Smiles 4 Kids, Pc
Healthy Smiles 4 Kids, Pc is an health care organization with primary practice located at 5708 Colleyville Blvd Suite A, Colleyville TX 76034-6064. The organization recently has only one registered license in Dental Providers / Dentist, which is considered as the primary health care specialty. Healthy Smiles 4 Kids, Pc can be contacted via phone (817) 428-8575, or through Gober, John Ralston via phone (817) 428-8575.

Contact Information

Primary practice address
5708 Colleyville Blvd Suite A Colleyville TX 76034-6064
Phone: (817) 428-8575
Fax: (817) 577-3970
Website:
Map and Directions
Authorized official contact:
Name: Gober, John Ralston Doctor of Dental Surgery (DDS)
Phone: (817) 428-8575

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 16709 Texas

Profile Details

NPI number 1952778862
LBN Legal business name Healthy Smiles 4 Kids, Pc
DBA Doing business as
Authorized official Gober, John Ralston Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 26th, 2015
Last updated Aug 26th, 2015 - about 9 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 1952778862 NPPES
Texas MEDICAID 091175203
Texas MEDICAID 091175202

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