San Marcos Pediatric Dentistry And Orthodontics

LBN: Roel Gonzalez, Dmd, Pa
San Marcos Pediatric Dentistry And Orthodontics is an health care organization with primary practice located at 1320 Wonder World Dr , San Marcos TX 78666-7557. The organization recently has only one registered license in Dental Providers / Dentist, which is considered as the primary health care specialty. Roel Gonzalez, Dmd, Pa can be contacted via phone (512) 618-1383, or through Gonzalez, Roel via phone (210) 906-7077.

Contact Information

Primary practice address
1320 Wonder World Dr San Marcos TX 78666-7557
Phone: (512) 618-1383
Fax: (512) 353-1619
Website:
Map and Directions
Authorized official contact:
Name: Gonzalez, Roel Doctor of Dental Medicine (DMD)
Phone: (210) 906-7077

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X

Profile Details

NPI number 1013431238
LBN Legal business name Roel Gonzalez, Dmd, Pa
DBA Doing business as San Marcos Pediatric Dentistry And Orthodontics
Authorized official Gonzalez, Roel Doctor of Dental Medicine (DMD)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 30th, 2017
Last updated Jul 24th, 2020 - about 4 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 1013431238 NPPES
Texas MEDICAID 376303901

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