Legacy Dental

LBN: Vanesa G Clements Dds Pc
Legacy Dental is an health care organization with primary practice located at 2200 Boca Chica Blvd #138, Brownsville TX 78521-2212. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Vanesa G Clements Dds Pc can be contacted via phone (956) 986-2222, or through Clements, Joseph W via phone (956) 986-2222.

Contact Information

Primary practice address
2200 Boca Chica Blvd #138 Brownsville TX 78521-2212
Fax: (956) 986-2223
Website:
Authorized official contact:
Name: Clements, Joseph W

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 24025 Texas

Profile Details

NPI number 1336523364
LBN Legal business name Vanesa G Clements Dds Pc
DBA Doing business as Legacy Dental
Authorized official Clements, Joseph W
Entity Organization
Organization subpart 1 No
Enumeration date Jul 20th, 2015
Last updated Jul 20th, 2015 - about 9 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 1336523364 NPPES
Texas MEDICAID 193080207
Texas Other 1700047271

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