Fun Dentist-South
LBN: Pediatric Dentistry Arlington South, Pllc
Fun Dentist-South is an health care organization with primary practice located at 4220 Little Road , Arlington TX 76016. The organization recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as the primary health care specialty.
Pediatric Dentistry Arlington South, Pllc can be contacted via phone (817) 478-2300, or through Miller, Charles W via phone (817) 478-2300.
Contact Information
Primary practice address
4220 Little Road
Arlington TX 76016
Phone: (817) 478-2300
Fax: (817) 478-4904
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Dental Providers / Pediatric Dentistry | 1223P0221X | 9223 | Texas |
Dental Providers / Pediatric Dentistry | 1223P0221X | 9178 | Texas |
Dental Providers / Pediatric Dentistry | 1223P0221X | 12597 | Texas |
Dental Providers / Pediatric Dentistry | 1223P0221X |
Profile Details
NPI number | 1023126786 |
---|---|
LBN Legal business name | Pediatric Dentistry Arlington South, Pllc |
DBA Doing business as | Fun Dentist-South |
Authorized official | Miller, Charles W DDS, MS |
Entity | Organization |
Organization subpart 1 | No |
Enumeration date | Aug 25th, 2006 |
Last updated | Jan 30th, 2023 - about last year |
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 | 1023126786 | NPPES |
Texas | MEDICAID | 285834201 |
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