<Unavail>

LBN: Highway 351 Pc
<Unavail> is an health care organization with primary practice located at 3864 Hwy 64 W , Tyler TX 75704-6924. The organization recently has 3 registered licenses in different health care specialties including Dental Providers / Endodontics, Dental Providers / General Practice, Dental Providers / Oral and Maxillofacial Surgery. Dental Providers / General Practice is the primary health care specialty. Highway 351 Pc can be contacted via phone (770) 916-9000, or through Mayfieldf, Dale via phone (770) 916-5028.

Contact Information

Primary practice address
3864 Hwy 64 W Tyler TX 75704-6924
Phone: (770) 916-9000
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Mayfieldf, Dale
Phone: (770) 916-5028

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Endodontics 1223E0200X
Dental Providers / General Practice 1223G0001X
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X

Profile Details

NPI number 1366794760
LBN Legal business name Highway 351 Pc
DBA Doing business as <Unavail>
Authorized official Mayfieldf, Dale
Entity Organization
Organization subpart 1 No
Enumeration date Oct 9th, 2012
Last updated Jan 29th, 2015 - about 11 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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