Ideal Dental Of Southlake, Pllc

LBN: Ideal Dental Of Southlake, Pllc
Ideal Dental Of Southlake, Pllc is an health care organization with primary practice located at 2645 E Southlake Blvd Suite 150, Southlake TX 76092. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Ideal Dental Of Southlake, Pllc can be contacted via phone (817) 734-9445, or through Alles, Rodney via phone (972) 361-0600.

Contact Information

Primary practice address
2645 E Southlake Blvd Suite 150 Southlake TX 76092
Phone: (817) 734-9445
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Alles, Rodney Doctor of Dental Surgery (DDS)
Phone: (972) 361-0600

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X

Profile Details

NPI number 1245671742
LBN Legal business name Ideal Dental Of Southlake, Pllc
DBA Doing business as
Authorized official Alles, Rodney Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 12th, 2013
Last updated Jul 12th, 2013 - about 11 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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