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Contact Information

ADVANTAGE DENTAL ORAL HEALTH CENTER OF TEXAS, PC
6600 BRENTWOOD STAIR RD
FORT WORTH, TX76112-3303
 Phone: 629-999-5014
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
 

Dentist

122300000X
 

Pediatric Dentistry

1223P0221X
Indicates primary specialty

NPI Profile & details for ADVANTAGE DENTAL ORAL HEALTH CENTER OF TEXAS, PC

NPI # 1699551309
LBN Legal business name ADVANTAGE DENTAL ORAL HEALTH CENTER OF TEXAS, PC
Authorized official SHERRIE EDMONDSON - (SR MANAGER, L&C)
Entity Organization
Organization subpart 1 No
Enumeration date 09/07/2023
Last updated 09/07/2023 - About 3 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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