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Contact Information

RIO GRANDE CITY DENTAL PLLC
LBN RIO GRANDE CITY DENTAL PLLC DUNKZ DENTAL PLLC MBR
4023 E. HIGHWAY 83
100
RIO GRANDE CITY, TX78582
 Phone: 817-529-8151
 Fax: 817-529-8156
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dentist

122300000X
Indicates primary specialty

NPI Profile & details for RIO GRANDE CITY DENTAL PLLC

NPI # 1316383482
LBN Legal business name RIO GRANDE CITY DENTAL PLLC DUNKZ DENTAL PLLC MBR
DBA Doing business as RIO GRANDE CITY DENTAL PLLC
Authorized official WILLIAM DUNKLIN - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 05/16/2013
Last updated 05/16/2013 - About 6 years ago
Identifiers
TX Medicaid 168217112
TX Medicaid 168217113
TX Medicaid 168217114
TX Medicaid 168217115
TX Medicaid 168217116
TX Medicaid 168217117
TX Medicaid 168217118
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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