Music City Mall Dental Practice, P.C.

LBN: Music City Mall Dental Practice, P.C.
Music City Mall Dental Practice, P.C. is an health care organization with primary practice located at 4101 E 42Nd St # B-23 , Odessa TX 79762-7239. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Music City Mall Dental Practice, P.C. can be contacted via phone (432) 363-4867, or through Owens, Jennifer via phone (432) 520-4867.

Contact Information

Primary practice address
4101 E 42Nd St # B-23 Odessa TX 79762-7239
Phone: (432) 363-4867
Fax: (432) 363-1799
Website:
Map and Directions
Authorized official contact:
Name: Owens, Jennifer
Phone: (432) 520-4867

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X

Profile Details

NPI number 1265737910
LBN Legal business name Music City Mall Dental Practice, P.C.
DBA Doing business as
Authorized official Owens, Jennifer
Entity Organization
Organization subpart 1 No
Enumeration date Jan 11th, 2011
Last updated Jan 11th, 2011 - about 13 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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