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Contact Information

380 FAMILY DENTISTRY PC
1361 E UNIVERSITY DR STE 10
PROSPER, TX75078-7265
 Phone: 972-533-2458
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
Indicates primary specialty

NPI Profile & details for 380 FAMILY DENTISTRY PC

NPI # 1942910351
LBN Legal business name 380 FAMILY DENTISTRY PC
Authorized official TRAVIS CAMPBELL - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 11/28/2022
Last updated 11/28/2022 - About 4 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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