The Center For Oral, Facial, And Implant Surgery Pa
LBN: The Center For Oral, Facial, And Implant Surgery Pa
The Center For Oral, Facial, And Implant Surgery Pa is an health care organization with primary practice located at 2310 Highway 157 N Suite 103, Mansfield TX 76063-8844. The organization recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as the primary health care specialty.
The Center For Oral, Facial, And Implant Surgery Pa can be contacted via phone (817) 477-0922, or through Sheppard, Michael Derae via phone (817) 477-0922.
Contact Information
Primary practice address
2310 Highway 157 N Suite 103
Mansfield TX 76063-8844
Phone: (817) 477-0922
Fax: (817) 477-0910
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | 21182 | Texas |
Profile Details
| NPI number | 1467694208 |
|---|---|
| LBN Legal business name | The Center For Oral, Facial, And Implant Surgery Pa |
| DBA Doing business as | |
| Authorized official | Sheppard, Michael Derae OMS |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Mar 25th, 2009 |
| Last updated | Mar 25th, 2009 - about 15 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 | 1467694208 | NPPES |
| Texas | Other | 8F2168 | MEDICARE ID |
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