Southern Surgical Arts
LBN: Stone Oral Facial Surgery Group Pllc
Southern Surgical Arts is an health care organization with primary practice located at 2550 Elkton Trl , Tyler TX 75703-0594. The organization recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as the primary health care specialty.
Stone Oral Facial Surgery Group Pllc can be contacted via phone (903) 534-1414, or through Stone, Charles G via phone (903) 534-1414.
Contact Information
Primary practice address
2550 Elkton Trl
Tyler TX 75703-0594
Phone: (903) 534-1414
Fax: (903) 534-1415
Website:
Authorized official contact:
Name: Stone, Charles G Doctor of Dental Surgery (DDS)
Phone: (903) 534-1414
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X |
Profile Details
| NPI number | 1912258740 |
|---|---|
| LBN Legal business name | Stone Oral Facial Surgery Group Pllc |
| DBA Doing business as | Southern Surgical Arts |
| Authorized official | Stone, Charles G Doctor of Dental Surgery (DDS) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Sep 19th, 2012 |
| Last updated | Dec 26th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1912258740 | NPPES |
| Texas | MEDICAID | 1206989-09 | |
| Texas | MEDICAID | 1305898-08 | |
| Texas | MEDICAID | 2032740-06 | |
| Texas | MEDICAID | 3126690-03 | |
| Texas | MEDICAID | 1206989-08 | |
| Texas | MEDICAID | 1896953-05 | |
| Texas | MEDICAID | 2032740-07 | |
| Texas | MEDICAID | 1305898-09 | |
| Texas | MEDICAID | 1896953-06 | |
| Texas | MEDICAID | 3099020-01 |
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