Pecan Tree Dental

LBN: Pecan Tree Dental
Pecan Tree Dental is an health care organization with primary practice located at 775 W Westchester Pkwy Ste 101 , Grand Prairie TX 75052-2851. The organization recently has only one registered license in Managed Care Organizations / Preferred Provider Organization, which is considered as the primary health care specialty. Pecan Tree Dental can be contacted via phone (972) 262-5111, or through Smith, Quinn Joe via phone (208) 371-2007.

Contact Information

Primary practice address
775 W Westchester Pkwy Ste 101 Grand Prairie TX 75052-2851
Phone: (972) 262-5111
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Smith, Quinn Joe Doctor of Dental Medicine (DMD)
Phone: (208) 371-2007

Health care specialties

SpecialtyCodeLicense #State
Managed Care Organizations / Preferred Provider Organization 305R00000X 30205 Texas

Profile Details

NPI number 1871909127
LBN Legal business name Pecan Tree Dental
DBA Doing business as
Authorized official Smith, Quinn Joe Doctor of Dental Medicine (DMD)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 8th, 2014
Last updated Jul 8th, 2014 - about 10 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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