National Provider Identifier Database

TEXAS TECH UNIVERSITY HEALTH SCIENCES CENTER AT AMARILLO
Dental Laboratory

A commercial laboratory specializing in the construction of dental appliances that conform to a dentist?s specifications including the construction of dentures (complete or partial), orthodontic appliances, bridgework, crowns, and inlays.


Contact Information

TEXAS TECH UNIVERSITY HEALTH SCIENCES CENTER AT AMARILLO
206 NE 7TH AVE
AMARILLO, TX79107-5214
Phone: 806-374-9964
Fax: 806-374-2945
Website:
Specialty Taxonomy Code
* Dental Laboratory 292200000X

* Indicates primary specialty

NPI Profile & details for TEXAS TECH UNIVERSITY HEALTH SCIENCES CENTER AT AMARILLO

NPI Number 1023161510
Legal business name
LBN
TEXAS TECH UNIVERSITY HEALTH SCIENCES CENTER AT AMARILLO
Authorized official DENISE RUSSELL - (CREDENTIALING COORDINATOR)
Entity Organization
Organization subpart No
Enumeration date 01/19/2007
Last updated 08/22/2020 - About 6 years ago
Sole proprietor1 Not specified
Identifiers
  • TX License #: R26080
  • TX Other: R26080 X-RAY CERTIFICATION

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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