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Contact Information

3220 GUS THOMASSON RD. DENTAL
3220 GUS THOMASSON RD STE 347
MESQUITE, TX75150-4051
 Phone: 972-698-6685
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
Indicates primary specialty

NPI Profile & details for 3220 GUS THOMASSON RD. DENTAL

NPI Number 1740989094
LBN Legal business name 3220 GUS THOMASSON RD. DENTAL
Authorized official MARIA ESTRADA - (BILLING/CREDENTIALING MANAGER)
Entity Organization
Organization subpart 1 No
Enumeration date 02/27/2023
Last updated 02/27/2023 - 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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