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Contact Information

W. MAIN STREET DENTAL LEWISVILLE, TX, P.C.
724 W MAIN ST STE 316
LEWISVILLE, TX75067
 Phone: 469-312-6201
 Fax: 469-312-6202
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
 

Endodontics

1223E0200X
 

Oral and Maxillofacial Surgery

1223S0112X 19 Oral Surgery (Dentist only)
 

Pediatric Dentistry

1223P0221X
Indicates primary specialty

NPI Profile & details for W. MAIN STREET DENTAL LEWISVILLE, TX, P.C.

NPI Number 1023508819
LBN Legal business name W. MAIN STREET DENTAL LEWISVILLE, TX, P.C.
Authorized official DALE MAYFIELD - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 05/16/2018
Last updated 05/23/2018 - About 8 years ago
Identifiers n/a
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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