Rising Stars Pediatric Dentistry, Pllc

LBN: Rising Stars Pediatric Dentistry, Pllc
Rising Stars Pediatric Dentistry, Pllc is an health care organization with primary practice located at 4308 N Quinlan Park Ste 201, Austin TX 78732. The organization recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as the primary health care specialty. Rising Stars Pediatric Dentistry, Pllc can be contacted via phone (512) 266-7200, or through Freeze, Michelle L via phone (512) 266-7200.

Contact Information

Primary practice address
4308 N Quinlan Park Ste 201 Austin TX 78732
Phone: (512) 266-7200
Fax: (512) 266-6197
Website:
Map and Directions
Authorized official contact:
Name: Freeze, Michelle L Doctor of Dental Medicine (DMD)
Phone: (512) 266-7200

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Pediatric Dentistry 1223P0221X

Profile Details

NPI number 1730282633
LBN Legal business name Rising Stars Pediatric Dentistry, Pllc
DBA Doing business as
Authorized official Freeze, Michelle L Doctor of Dental Medicine (DMD)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 6th, 2006
Last updated Jul 17th, 2008 - about 16 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 1730282633 NPPES
Other 1620639 UNITED CONCORDIA

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