The Texas Children'S Dental Universe

LBN: The Texas Children'S Dental Universe
The Texas Children'S Dental Universe is an health care organization with primary practice located at 1114 14Th St N , Texas City TX 77590-5413. The organization recently has 2 registered licenses in different health care specialties including Dental Providers / General Practice, Dental Providers / Pediatric Dentistry. Dental Providers / Pediatric Dentistry is the primary health care specialty. The Texas Children'S Dental Universe can be contacted via phone (409) 945-8080, or through Dutton, Melonie Rachel via phone (409) 945-8080.

Contact Information

Primary practice address
1114 14Th St N Texas City TX 77590-5413
Fax: (409) 945-4325
Website:
Authorized official contact:
Name: Dutton, Melonie Rachel D.D.S. (PEDIATRICS)

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 17982 Texas
Dental Providers / Pediatric Dentistry 1223P0221X 17982 Texas

Profile Details

NPI number 1285811364
LBN Legal business name The Texas Children'S Dental Universe
DBA Doing business as
Authorized official Dutton, Melonie Rachel D.D.S. (PEDIATRICS)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 30th, 2008
Last updated Mar 15th, 2010 - about 14 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 1285811364 NPPES
Texas Other G60405-01 CHIPS
Texas Other 840977 CHIPS
Texas MEDICAID 149758802 CHIPS

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