Professional Dental Group P.A.

LBN: Professional Dental Group P.A.
Professional Dental Group P.A. is an health care organization with primary practice located at 1115 Professional Dr , Brownsville TX 78520-6462. The organization recently has only one registered license in Dental Providers / Dentist, which is considered as the primary health care specialty. Professional Dental Group P.A. can be contacted via phone (956) 782-6767, or through Barrera, Iris via phone (956) 782-6767.

Contact Information

Primary practice address
1115 Professional Dr Brownsville TX 78520-6462
Phone: (956) 782-6767
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Barrera, Iris Doctor of Dental Surgery (DDS)
Phone: (956) 782-6767

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 22574 Texas

Profile Details

NPI number 1851643134
LBN Legal business name Professional Dental Group P.A.
DBA Doing business as
Authorized official Barrera, Iris Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 10th, 2012
Last updated Oct 10th, 2012 - about 12 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 1851643134 NPPES
Texas MEDICAID 1779188-03

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