1497921639 NPI number — DENT-O-CARE

Table of content: (NPI 1497921639)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1497921639 NPI number — DENT-O-CARE

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
DENT-O-CARE
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
DENTAL ETC
Provider Other Organization Name Type Code:
3
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1497921639
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
05/07/2008
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
5871 FAIRMONT PKWY
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
PASADENA
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
77505-3907
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
281-487-7774
Provider Business Mailing Address Fax Number:
281-487-1188

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
5871 FAIRMONT PKWY
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
PASADENA
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
77505-3907
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
281-487-7774
Provider Business Practice Location Address Fax Number:
281-487-1188
Provider Enumeration Date:
05/07/2008

Additional Information

Authorized Official

Authorized Official Last Name:
TRUONG
Authorized Official First Name:
CUC
Authorized Official Middle Name:
Authorized Official Title or Position:
OWNER
Authorized Official Telephone Number:
281-487-7774

Provider Taxonomy Codes

  • Taxonomy code: 1223G0001X , with the licence number:  20650 , registered in the state of TX ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 167196801 , issued by the state of ( TX ) . This identifiers is of the category "MEDICAID".




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