Kleen Dental

LBN: Srilasimha
Kleen Dental is an health care organization with primary practice located at 838 S Carrier Pkwy , Grand Prairie TX 75051-1517. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Srilasimha can be contacted via phone (214) 247-7255, or through Iyer, Vaishnavi via phone (214) 247-7255.

Contact Information

Primary practice address
838 S Carrier Pkwy Grand Prairie TX 75051-1517
Fax:
Website:
Authorized official contact:
Name: Iyer, Vaishnavi Doctor of Dental Surgery (DDS)

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X

Profile Details

NPI number 1770833246
LBN Legal business name Srilasimha
DBA Doing business as Kleen Dental
Authorized official Iyer, Vaishnavi Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 12th, 2012
Last updated Feb 13th, 2013 - about 11 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 1770833246 NPPES
Texas MEDICAID 212704505
Texas MEDICAID 306940301

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