The Dentist Off Main, Pllc

LBN: The Dentist Off Main, Pllc
The Dentist Off Main, Pllc is an health care organization with primary practice located at 1245 S. Main St. Suite 100, Grapevine TX 76051. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. The Dentist Off Main, Pllc can be contacted via phone (817) 527-1590, or through Luczak, Richard Bernard via phone (817) 527-1590.

Contact Information

Primary practice address
1245 S. Main St. Suite 100 Grapevine TX 76051
Phone: (817) 527-1590
Fax: (940) 497-3010
Website:
Map and Directions
Authorized official contact:
Name: Luczak, Richard Bernard DDS, MPH
Phone: (817) 527-1590

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 19398 Texas

Profile Details

NPI number 1396184693
LBN Legal business name The Dentist Off Main, Pllc
DBA Doing business as
Authorized official Luczak, Richard Bernard DDS, MPH
Entity Organization
Organization subpart 1 No
Enumeration date Jun 19th, 2013
Last updated Jun 19th, 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 1396184693 NPPES
Other 870515 UNITED CONCORDIA

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