Live Oak Pediatric Dentistry

LBN: Live Oak Pediatric Dentistry
Live Oak Pediatric Dentistry is an health care organization with primary practice located at 8056 Shin Oak Dr Ste 200 , Live Oak TX 78233-2957. The organization recently has 3 registered licenses in different health care specialties including Dental Providers / General Practice, Dental Providers / Pediatric Dentistry, Dental Providers / Orthodontics and Dentofacial Orthopedics. Dental Providers / Pediatric Dentistry is the primary health care specialty. Live Oak Pediatric Dentistry can be contacted via phone (210) 658-3131, or through Hafen, Jerame via phone (210) 845-8831.

Contact Information

Primary practice address
8056 Shin Oak Dr Ste 200 Live Oak TX 78233-2957
Phone: (210) 658-3131
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Hafen, Jerame Doctor of Dental Surgery (DDS)
Phone: (210) 845-8831

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X
Dental Providers / Pediatric Dentistry 1223P0221X
Dental Providers / Orthodontics and Dentofacial Orthopedics 1223X0400X

Profile Details

NPI number 1932813219
LBN Legal business name Live Oak Pediatric Dentistry
DBA Doing business as
Authorized official Hafen, Jerame Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 10th, 2023
Last updated Jan 10th, 2023 - about last year

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 1932813219 NPPES
Other NONE NONE

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