Pediatric Dentistry Of Keller Pllc

LBN: Pediatric Dentistry Of Keller Pllc
Pediatric Dentistry Of Keller Pllc is an health care organization with primary practice located at 1627 Keller Parkway Suite 100, Keller TX 76248. The organization recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as the primary health care specialty. Pediatric Dentistry Of Keller Pllc can be contacted via phone (480) 207-9709, or through Johnson, Jacob via phone (480) 207-9709.

Contact Information

Primary practice address
1627 Keller Parkway Suite 100 Keller TX 76248
Phone: (480) 207-9709
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Johnson, Jacob Doctor of Dental Surgery (DDS)
Phone: (480) 207-9709

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Pediatric Dentistry 1223P0221X

Profile Details

NPI number 1750934253
LBN Legal business name Pediatric Dentistry Of Keller Pllc
DBA Doing business as
Authorized official Johnson, Jacob Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 23rd, 2019
Last updated Jul 23rd, 2019 - about 6 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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