Custom Dental Of The Colony, Pllc

LBN: Custom Dental Of The Colony, Pllc
Custom Dental Of The Colony, Pllc is an health care organization with primary practice located at 4695 N Colony Blvd Ste 104 , The Colony TX 75056-3330. The organization recently has only one registered license in Ambulatory Health Care Facilities / Dental, which is considered as the primary health care specialty. Custom Dental Of The Colony, Pllc can be contacted via phone (972) 625-0213, or through Rodgers, Rene via phone (405) 227-6100.

Contact Information

Primary practice address
4695 N Colony Blvd Ste 104 The Colony TX 75056-3330
Phone: (972) 625-0213
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Rodgers, Rene
Phone: (405) 227-6100

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Dental 261QD0000X

Profile Details

NPI number 1568123719
LBN Legal business name Custom Dental Of The Colony, Pllc
DBA Doing business as
Authorized official Rodgers, Rene
Entity Organization
Organization subpart 1 No
Enumeration date Jan 9th, 2022
Last updated Jan 9th, 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

Popular Providers