Moment Dental

LBN: Tphan Dental Pllc
Moment Dental is an health care organization with primary practice located at 581 University Blvd Ste 400 , Round Rock TX 78665-1068. The organization recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Ambulatory Health Care Facilities / Dental. Dental Providers / Dentist is the primary health care specialty. Tphan Dental Pllc can be contacted via phone (512) 244-3333, or through Phan, Trung via phone (703) 608-3760.

Contact Information

Primary practice address
581 University Blvd Ste 400 Round Rock TX 78665-1068
Phone: (512) 244-3333
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Phan, Trung Doctor of Dental Surgery (DDS)
Phone: (703) 608-3760

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X
Ambulatory Health Care Facilities / Dental 261QD0000X

Profile Details

NPI number 1891453718
LBN Legal business name Tphan Dental Pllc
DBA Doing business as Moment Dental
Authorized official Phan, Trung Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 8th, 2021
Last updated Nov 23rd, 2022 - about 2 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1891453718 NPPES
Other 1902391972 NPI

Popular Providers