Academy Dental Center

LBN: Academy Dental Center
Academy Dental Center is an health care organization with primary practice located at 709 E Main St , Little River Academy TX 76554-2605. The organization recently has only one registered license in Dental Providers / Dentist, which is considered as the primary health care specialty. Academy Dental Center can be contacted via phone (254) 982-4750, or through Knott, James W via phone (254) 982-4750.

Contact Information

Primary practice address
709 E Main St Little River Academy TX 76554-2605
Phone: (254) 982-4750
Fax: (254) 982-4721
Website:
Map and Directions
Authorized official contact:
Name: Knott, James W Doctor of Dental Surgery (DDS)
Phone: (254) 982-4750

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 14945 Texas

Profile Details

NPI number 1558437228
LBN Legal business name Academy Dental Center
DBA Doing business as
Authorized official Knott, James W Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 27th, 2006
Last updated Jun 12th, 2008 - about 18 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1558437228 NPPES
Texas MEDICAID 0904500-02

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