Shepherd Lane Dental Associates,P.C

LBN: Shepherd Lane Dental Associates,P.C
Shepherd Lane Dental Associates,P.C is an health care organization with primary practice located at 3434 Towne Crossing Blvd. Suite 106, Mesquite TX 75150-2724. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Shepherd Lane Dental Associates,P.C can be contacted via phone (972) 279-0900, or through Blanek, Harry J. via phone (972) 279-0900.

Contact Information

Primary practice address
3434 Towne Crossing Blvd. Suite 106 Mesquite TX 75150-2724
Phone: (972) 279-0900
Fax: (972) 286-6106
Website:
Map and Directions
Authorized official contact:
Name: Blanek, Harry J. Doctor of Dental Surgery (DDS)
Phone: (972) 279-0900

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 7005 Texas

Profile Details

NPI number 1073642013
LBN Legal business name Shepherd Lane Dental Associates,P.C
DBA Doing business as
Authorized official Blanek, Harry J. Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 5th, 2007
Last updated Jul 18th, 2015 - about 9 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 1073642013 NPPES
Texas MEDICAID 091321202

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