Michael D Vaclav Dds & Ryan Street Dds

LBN: Amarillo Dental Associates
Michael D Vaclav Dds & Ryan Street Dds is an health care organization with primary practice located at 4525 Van Winkle , Amarillo TX 79119. The organization recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / General Practice. Dental Providers / Dentist is the primary health care specialty. Amarillo Dental Associates can be contacted via phone (806) 355-7463, or through Vaclav, Michael D via phone (806) 355-7463.

Contact Information

Primary practice address
4525 Van Winkle Amarillo TX 79119
Phone: (806) 355-7463
Fax: (806) 355-6014
Website:
Map and Directions
Authorized official contact:
Name: Vaclav, Michael D Doctor of Dental Surgery (DDS)
Phone: (806) 355-7463

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 10364 Texas
Dental Providers / Dentist 122300000X 21834 Texas
Dental Providers / General Practice 1223G0001X 21834 Texas

Profile Details

NPI number 1356517650
LBN Legal business name Amarillo Dental Associates
DBA Doing business as Michael D Vaclav Dds & Ryan Street Dds
Authorized official Vaclav, Michael D Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date May 6th, 2008
Last updated May 26th, 2011 - about 15 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 1356517650 NPPES
Texas Other 1578606901 RYAN STREET DDS
Texas MEDICAID 0095226-01 RYAN STREET DDS
Texas Other 1710020177 RYAN STREET DDS

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