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Contact Information

411 DENTAL PC DBA HARRIS CREEK DENTAL
27487 W HIGHWAY 84
MCGREGOR, TX76657-3717
 Phone: 254-848-9566
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
Indicates primary specialty

NPI Profile & details for 411 DENTAL PC DBA HARRIS CREEK DENTAL

NPI # 1124489935
LBN Legal business name 411 DENTAL PC DBA HARRIS CREEK DENTAL
Authorized official SAM BABER - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 03/08/2016
Last updated 03/08/2016 - About 10 years ago
Identifiers
TX License # 25535
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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