Community Dental Clinic

LBN: Texas Tech University Health Sciences Center At Amarillo
Community Dental Clinic is an health care organization with primary practice located at 206 Ne 7Th Ave , Amarillo TX 79107-5214. The organization recently has only one registered license in Laboratories / Dental Laboratory, which is considered as the primary health care specialty. Texas Tech University Health Sciences Center At Amarillo can be contacted via phone (806) 374-9964, or through Russell, Denise via phone (806) 354-5495.

Contact Information

Primary practice address
206 Ne 7Th Ave Amarillo TX 79107-5214
Phone: (806) 374-9964
Fax: (806) 374-2945
Website:
Map and Directions
Authorized official contact:
Name: Russell, Denise CPCS
Phone: (806) 354-5495

Health care specialties

SpecialtyCodeLicense #State
Laboratories / Dental Laboratory 292200000X R26080 Texas

Profile Details

NPI number 1023161510
LBN Legal business name Texas Tech University Health Sciences Center At Amarillo
DBA Doing business as Community Dental Clinic
Authorized official Russell, Denise CPCS
Entity Organization
Organization subpart 1 No
Enumeration date Jan 19th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1023161510 NPPES
Texas Other R26080 X-RAY CERTIFICATION

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