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Contact Information

TAHOKA DENTISTRY PLLC
2428 LOCKWOOD STREET
TAHOKA, TX79373
 Phone: 806-601-0333
 Fax: 806-601-0339
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
Indicates primary specialty

NPI Profile & details for TAHOKA DENTISTRY PLLC

NPI # 1033914965
LBN Legal business name TAHOKA DENTISTRY PLLC
Authorized official BENJAMIN MENLOVE - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 02/14/2025
Last updated 02/14/2025 - More than a year ago
Identifiers
NM Medicaid 00185523
TX Medicaid 440696902
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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