Lopez, Sergio Enrique

Lopez, Sergio Enrique is an sole proprietor health care provider with primary practice located at 1507 S Mccoll Rd , Edinburg TX 78541-4265. He recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / Pediatric Dentistry. Dental Providers / Pediatric Dentistry is his primary health care specialty. Lopez, Sergio Enrique can be contacted via phone (956) 720-4345.

Contact Information

Primary practice address
1507 S Mccoll Rd Edinburg TX 78541-4265
Phone: (956) 720-4345
Fax: (956) 720-4329
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 27129 Texas
Dental Providers / Pediatric Dentistry 1223P0221X 27129 Texas

Profile Details

NPI number 1154619088
LBN Legal business name Lopez, Sergio Enrique
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 12th, 2011
Last updated Jun 30th, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1154619088 NPPES
Texas MEDICAID 295598107

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