Laredo Covenant Dental, P.A.

LBN: Laredo Covenant Dental, P.A.
Laredo Covenant Dental, P.A. is an health care organization with primary practice located at 7917 Mcpherson Rd Suite 202, Laredo TX 78045-2811. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Laredo Covenant Dental, P.A. can be contacted via phone (956) 712-8444, or through Lee, Jin M via phone (956) 712-8444.

Contact Information

Primary practice address
7917 Mcpherson Rd Suite 202 Laredo TX 78045-2811
Fax: (956) 712-8439
Website:
Authorized official contact:
Name: Lee, Jin M Doctor of Dental Surgery (DDS)

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 21524 Texas
Dental Providers / General Practice 1223G0001X 21577 Texas

Profile Details

NPI number 1477669257
LBN Legal business name Laredo Covenant Dental, P.A.
DBA Doing business as
Authorized official Lee, Jin M Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 22nd, 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 1477669257 NPPES
Texas Other G-6003101 TEXAS CHIP

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