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
Fax: (817) 478-4904
Website:
Authorized official contact:
Name: Miller, Charles W DDS, MS

Health care specialties

SpecialtyCodeLicense #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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1023126786 NPPES
Texas MEDICAID 285834201

Popular Providers