1225229214 NPI number — BEATRIZ R. AGUERO, DDS & ASSOCIATES IV, PA

Table of content: (NPI 1225229214)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1225229214 NPI number — BEATRIZ R. AGUERO, DDS & ASSOCIATES IV, PA

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
BEATRIZ R. AGUERO, DDS & ASSOCIATES IV, PA
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:
Provider Other Organization Name Type Code:
6
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:
1225229214
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
12/29/2011
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
17300 DALLAS PARKWAY
Provider Second Line Business Mailing Address:
#1070
Provider Business Mailing Address City Name:
DALLAS
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
75248
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
972-755-0880
Provider Business Mailing Address Fax Number:
972-755-0890

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
230 LOWES BLVD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
LEEXINGTON
Provider Business Practice Location Address State Name:
NC
Provider Business Practice Location Address Postal Code:
27292
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
336-243-8670
Provider Business Practice Location Address Fax Number:
216-584-1112
Provider Enumeration Date:
08/06/2007

Additional Information

Authorized Official

Authorized Official Last Name:
AGUERO
Authorized Official First Name:
BEATRIZ
Authorized Official Middle Name:
Authorized Official Title or Position:
DENTIST/OWNER
Authorized Official Telephone Number:
336-243-8670

Provider Taxonomy Codes

  • Taxonomy code: 1223G0001X , with the licence number:  6541 , registered in the state of NC ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 1223G0001X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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





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