Lake Country Dental

LBN: Lake Country Dental
Lake Country Dental is an health care organization with primary practice located at 8461 Boat Club Rd , Fort Worth TX 76179-3607. The organization recently has only one registered license in Dental Providers / Dentist, which is considered as the primary health care specialty. Lake Country Dental can be contacted via phone (817) 236-8771, or through Snider, Ray D. via phone (817) 236-8771.

Contact Information

Primary practice address
8461 Boat Club Rd Fort Worth TX 76179-3607
Phone: (817) 236-8771
Fax: (817) 236-8791
Website:
Map and Directions
Authorized official contact:
Name: Snider, Ray D. D.D.S., P.A.
Phone: (817) 236-8771

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X

Profile Details

NPI number 1972692556
LBN Legal business name Lake Country Dental
DBA Doing business as
Authorized official Snider, Ray D. D.D.S., P.A.
Entity Organization
Organization subpart 1 No
Enumeration date Oct 12th, 2006
Last updated Aug 22nd, 2020 - about 4 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 1972692556 NPPES
Texas Other 841904 UNITED CONCORDIA #
Texas Other D12073 UNITED CONCORDIA #

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