Jollyville Dental Professionals

LBN: Jollyville Dental Professionals
Jollyville Dental Professionals is an health care organization with primary practice located at 11672 Jollyville Rd , Austin TX 78759-3935. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Jollyville Dental Professionals can be contacted via phone (512) 918-0005, or through Roach, Bruce Dee via phone (512) 918-0005.

Contact Information

Primary practice address
11672 Jollyville Rd Austin TX 78759-3935
Phone: (512) 918-0005
Fax: (512) 918-0008
Website:
Map and Directions
Authorized official contact:
Name: Roach, Bruce Dee Doctor of Dental Surgery (DDS)
Phone: (512) 918-0005

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 13219 Texas

Profile Details

NPI number 1417155417
LBN Legal business name Jollyville Dental Professionals
DBA Doing business as
Authorized official Roach, Bruce Dee Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 11th, 2007
Last updated Jul 11th, 2007 - about 17 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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