Killeen Family Dentistry

LBN: Killeen Family Dentistry
Killeen Family Dentistry is an health care organization with primary practice located at 3300 E Central Texas Expy Suite #302, Killeen TX 76543-5306. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Killeen Family Dentistry can be contacted via phone (254) 699-6799, or through Yassa, Andre via phone (254) 699-6799.

Contact Information

Primary practice address
3300 E Central Texas Expy Suite #302 Killeen TX 76543-5306
Phone: (254) 699-6799
Fax: (254) 699-3465
Website:
Map and Directions
Authorized official contact:
Name: Yassa, Andre Doctor of Dental Surgery (DDS)
Phone: (254) 699-6799

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X

Profile Details

NPI number 1508958117
LBN Legal business name Killeen Family Dentistry
DBA Doing business as
Authorized official Yassa, Andre Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 29th, 2006
Last updated May 14th, 2014 - about 12 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 1508958117 NPPES
Texas Other G60488-1 TEXAS CHIP
Texas MEDICAID 172223301 TEXAS CHIP

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