Lord Dental, P.A.
LBN: Lord Dental, P.A.
Lord Dental, P.A. is an health care organization with primary practice located at 4509 E Lancaster Ave , Fort Worth TX 76103-3210. The organization recently has 3 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / General Practice, Dental Providers / Orthodontics and Dentofacial Orthopedics. Dental Providers / General Practice is the primary health care specialty.
Lord Dental, P.A. can be contacted via phone (817) 546-1020, or through Lord, Leyla via phone (972) 904-9248.
Contact Information
Primary practice address
4509 E Lancaster Ave
Fort Worth TX 76103-3210
Phone: (817) 546-1020
Fax:
Website:
Authorized official contact:
Name: Lord, Leyla Doctor of Dental Medicine (DMD)
Phone: (972) 904-9248
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Dental Providers / Dentist | 122300000X | 22028 | Texas |
Dental Providers / General Practice | 1223G0001X | 22028 | Texas |
Dental Providers / Orthodontics and Dentofacial Orthopedics | 1223X0400X | 22028 | Texas |
Profile Details
NPI number | 1316013436 |
---|---|
LBN Legal business name | Lord Dental, P.A. |
DBA Doing business as | |
Authorized official | Lord, Leyla Doctor of Dental Medicine (DMD) |
Entity | Organization |
Organization subpart 1 | No |
Enumeration date | Nov 28th, 2006 |
Last updated | May 11th, 2016 - about 8 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1316013436 | NPPES |
Texas | MEDICAID | 177614801 | |
Texas | Other | B2202801 |
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