Times Square Family Dental Pa

LBN: Times Square Family Dental Pa
Times Square Family Dental Pa is an health care organization with primary practice located at 5201 S Broadway Ave Suite 240, Tyler TX 75703-3748. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Times Square Family Dental Pa can be contacted via phone (903) 534-8110, or through Afkhami, Kaivan Kevin via phone (817) 577-9200.

Contact Information

Primary practice address
5201 S Broadway Ave Suite 240 Tyler TX 75703-3748
Phone: (903) 534-8110
Fax: (903) 534-5510
Website:
Map and Directions
Authorized official contact:
Name: Afkhami, Kaivan Kevin Doctor of Dental Surgery (DDS)
Phone: (817) 577-9200

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 20467 Texas

Profile Details

NPI number 1174954424
LBN Legal business name Times Square Family Dental Pa
DBA Doing business as
Authorized official Afkhami, Kaivan Kevin Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 11th, 2013
Last updated Dec 11th, 2013 - about 12 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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