Dwain E Matelski Dds Periodontist

LBN: Southlake Dental Corp
Dwain E Matelski Dds Periodontist is an health care organization with primary practice located at 1124 S Lake Street Suite B, Fort Worth TX 76104. The organization recently has only one registered license in Dental Providers / Periodontics, which is considered as the primary health care specialty. Southlake Dental Corp can be contacted via phone (817) 336-1166, or through Matelski, Dwain Edwin via phone (817) 336-1166.

Contact Information

Primary practice address
1124 S Lake Street Suite B Fort Worth TX 76104
Phone: (817) 336-1166
Fax: (817) 336-1180
Website:
Map and Directions
Authorized official contact:
Name: Matelski, Dwain Edwin
Phone: (817) 336-1166

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Periodontics 1223P0300X 9930 Texas

Profile Details

NPI number 1154544740
LBN Legal business name Southlake Dental Corp
DBA Doing business as Dwain E Matelski Dds Periodontist
Authorized official Matelski, Dwain Edwin
Entity Organization
Organization subpart 1 No
Enumeration date Apr 11th, 2007
Last updated Aug 22nd, 2020 - about 5 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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