The Tooth Place, P.A.

LBN: The Tooth Place, P.A.
The Tooth Place, P.A. is an health care organization with primary practice located at 2501 Paredes Line Rd Ste B3 , Brownsville TX 78526-1195. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. The Tooth Place, P.A. can be contacted via phone (956) 542-9200, or through Martinez, Shelly S via phone (956) 542-9200.

Contact Information

Primary practice address
2501 Paredes Line Rd Ste B3 Brownsville TX 78526-1195
Phone: (956) 542-9200
Fax: (956) 542-9913
Website:
Map and Directions
Authorized official contact:
Name: Martinez, Shelly S Doctor of Dental Surgery (DDS)
Phone: (956) 542-9200

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 20613 Texas

Profile Details

NPI number 1144384785
LBN Legal business name The Tooth Place, P.A.
DBA Doing business as
Authorized official Martinez, Shelly S Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 20th, 2006
Last updated Jun 29th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1144384785 NPPES
Texas MEDICAID 151128901
Texas MEDICAID 151128902
Texas Other B20613-1
Texas MEDICAID 172064101

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