National Provider Identifier Database

GLEN ROSE FAMILY DENTAL
Preferred Provider Organization

A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level.


Contact Information

GLEN ROSE FAMILY DENTAL
1104 BLUEBONNET ST
GLEN ROSE, TX76043-5013
Phone: 254-898-4646
Fax: 254-897-7321
Website:
Specialty Taxonomy Code
* Preferred Provider Organization 305R00000X

* Indicates primary specialty

NPI Profile & details for GLEN ROSE FAMILY DENTAL

NPI Number 1003351271
Legal business name
LBN
GLEN ROSE FAMILY DENTAL
Authorized official CLAYTON COOK - (GENERAL DENTIST)
Entity Organization
Organization subpart No
Enumeration date 12/27/2016
Last updated 12/27/2016 - About 9 years ago
Sole proprietor1 Not specified
Identifiers
  • TX License #: 29154

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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