Pacific Dental Care Tuan Di Su Dds Pa
LBN: Pacific Dental Care Tuan Di Su Dds Pa
Pacific Dental Care Tuan Di Su Dds Pa is an health care organization with primary practice located at 3043 Old Denton Rd Suite 108, Carrollton TX 75007-5036. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty.
Pacific Dental Care Tuan Di Su Dds Pa can be contacted via phone (972) 492-5838, or through Su, Tuan D via phone (972) 567-7450.
Contact Information
Primary practice address
3043 Old Denton Rd Suite 108
Carrollton TX 75007-5036
Phone: (972) 492-5838
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X |
Profile Details
| NPI number | 1275687212 |
|---|---|
| LBN Legal business name | Pacific Dental Care Tuan Di Su Dds Pa |
| DBA Doing business as | |
| Authorized official | Su, Tuan D Doctor of Dental Surgery (DDS) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jan 23rd, 2007 |
| Last updated | Aug 21st, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1275687212 | NPPES |
| Texas | MEDICAID | 144548802 | |
| Texas | MEDICAID | 149824801 |
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