Mansfield Oral And Facial Surgery

LBN: Mansfield Oral And Facial Surgery
Mansfield Oral And Facial Surgery is an health care organization with primary practice located at 1705 Fountainview Dr #103 , Mansfield TX 76063. The organization recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as the primary health care specialty. Mansfield Oral And Facial Surgery can be contacted via phone (817) 453-4404, or through Joyce, Lindsay Allison via phone (817) 453-4404.

Contact Information

Primary practice address
1705 Fountainview Dr #103 Mansfield TX 76063
Phone: (817) 453-4404
Fax: (817) 453-4416
Website:
Map and Directions
Authorized official contact:
Name: Joyce, Lindsay Allison
Phone: (817) 453-4404

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X L9710 Texas

Profile Details

NPI number 1972771053
LBN Legal business name Mansfield Oral And Facial Surgery
DBA Doing business as
Authorized official Joyce, Lindsay Allison
Entity Organization
Organization subpart 1 No
Enumeration date Feb 12th, 2008
Last updated Feb 12th, 2008 - about 16 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 1972771053 NPPES
Texas MEDICAID 176821001

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