Cleburne Dental Studio Pllc

LBN: Cleburne Dental Studio Pllc
Cleburne Dental Studio Pllc is an health care organization with primary practice located at 1607 W Henderson St Ste K , Cleburne TX 76033-4179. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Cleburne Dental Studio Pllc can be contacted via phone (817) 522-3166, or through Park, Jin via phone (817) 522-3166.

Contact Information

Primary practice address
1607 W Henderson St Ste K Cleburne TX 76033-4179
Phone: (817) 522-3166
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Park, Jin Doctor of Dental Medicine (DMD)
Phone: (817) 522-3166

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 29792 Texas

Profile Details

NPI number 1952824468
LBN Legal business name Cleburne Dental Studio Pllc
DBA Doing business as
Authorized official Park, Jin Doctor of Dental Medicine (DMD)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 18th, 2017
Last updated Jul 21st, 2022 - about 4 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1952824468 NPPES
Texas MEDICAID 3427577

Popular Providers