Hendricks, Kristen Campbell
Hendricks, Kristen Campbell is an sole proprietor health care provider with primary practice located at 1912 W Pecan St Suite A103, Pflugerville TX 78660-3561. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Hendricks, Kristen Campbell can be contacted via phone (512) 989-3200.Contact Information
Primary practice address
1912 W Pecan St Suite A103
Pflugerville TX 78660-3561
Phone: (512) 989-3200
Fax: (512) 989-3201
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 23958 | Texas |
Profile Details
| NPI number | 1275780330 |
|---|---|
| LBN Legal business name | Hendricks, Kristen Campbell |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 20th, 2008 |
| Last updated | Jan 7th, 2011 - about 13 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1275780330 | NPPES |
| Texas | MEDICAID | 194293010 |
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