Primary Dental Clinic

LBN: Primary Dental Clinic, P.A.
Primary Dental Clinic is an health care organization with primary practice located at 6871 Shadybrook Ln , Dallas TX 75231-6605. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Primary Dental Clinic, P.A. can be contacted via phone (469) 939-6691, or through Bui, Kim via phone (469) 939-6691.

Contact Information

Primary practice address
6871 Shadybrook Ln Dallas TX 75231-6605
Phone: (469) 939-6691
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Bui, Kim Doctor of Dental Surgery (DDS)
Phone: (469) 939-6691

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 21598 Texas

Profile Details

NPI number 1669529798
LBN Legal business name Primary Dental Clinic, P.A.
DBA Doing business as Primary Dental Clinic
Authorized official Bui, Kim Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 4th, 2007
Last updated Mar 20th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1669529798 NPPES
Texas Other 21598 SBDE TX DENTIST PROVIDER NUMBER
Texas Other B21598-01 SBDE TX DENTIST PROVIDER NUMBER
Texas MEDICAID 176322901 SBDE TX DENTIST PROVIDER NUMBER

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