National Provider Identifier Database

DENTAL BOAT CLUB PC
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

DENTAL BOAT CLUB P.C
4625 BOAT CLUB RD
STE 225
FORT WORTH, TX76135-7022
Phone: 817-666-8110
Fax:
Website:
Specialty Taxonomy Code
* Preferred Provider Organization 305R00000X

* Indicates primary specialty

NPI Profile & details for DENTAL BOAT CLUB P.C

NPI Number 1306112149
Legal business name
LBN
DENTAL BOAT CLUB P.C
Authorized official HAIDUONG NGUYEN - (OWNER)
Entity Organization
Organization subpart No
Enumeration date 03/27/2012
Last updated 03/27/2012 - About 14 years ago
Sole proprietor1 Not specified
Identifiers
  • TX License #: 22593

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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