Fort Worth Children'S Dentistry

LBN: Jamison Pediatric Dentistry Pllc
Fort Worth Children'S Dentistry is an health care organization with primary practice located at 5521 Bellaire Dr S Suite 210, Fort Worth TX 76109-8838. The organization recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as the primary health care specialty. Jamison Pediatric Dentistry Pllc can be contacted via phone (817) 569-6633, or through Jamison, Andrew M via phone (817) 569-6633.

Contact Information

Primary practice address
5521 Bellaire Dr S Suite 210 Fort Worth TX 76109-8838
Phone: (817) 569-6633
Fax: (817) 569-6636
Website:
Map and Directions
Authorized official contact:
Name: Jamison, Andrew M Doctor of Dental Surgery (DDS)
Phone: (817) 569-6633

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Pediatric Dentistry 1223P0221X 21557 Texas

Profile Details

NPI number 1194104505
LBN Legal business name Jamison Pediatric Dentistry Pllc
DBA Doing business as Fort Worth Children'S Dentistry
Authorized official Jamison, Andrew M Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date May 19th, 2015
Last updated May 21st, 2015 - about 10 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 1194104505 NPPES
Texas MEDICAID 0913279-01

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