Williams Dental South

LBN: Williams Dental South
Williams Dental South is an health care organization with primary practice located at 269 E. Ovilla Rd. Ste: 300, Red Oak TX 75154. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Williams Dental South can be contacted via phone (972) 576-0248, or through Williams, Charles Ivan via phone (972) 576-0248.

Contact Information

Primary practice address
269 E. Ovilla Rd. Ste: 300 Red Oak TX 75154
Phone: (972) 576-0248
Fax: (972) 576-0346
Website:
Map and Directions
Authorized official contact:
Name: Williams, Charles Ivan Doctor of Dental Surgery (DDS)
Phone: (972) 576-0248

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 8495 Texas

Profile Details

NPI number 1194807578
LBN Legal business name Williams Dental South
DBA Doing business as
Authorized official Williams, Charles Ivan Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 19th, 2006
Last updated Dec 19th, 2014 - about 10 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 1194807578 NPPES
Texas MEDICAID 148102001
Texas Other 0079JM
Texas Other 01364233
Texas Other 1039831

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