Leaf Family Dentistry

LBN: Leaf Dentistry Llc
Leaf Family Dentistry is an health care organization with primary practice located at 800 S Center St , Grand Prairie TX 75051-1815. The organization recently has only one registered license in Dental Providers / Dentist, which is considered as the primary health care specialty. Leaf Dentistry Llc can be contacted via phone (972) 264-1662, or through Richardson, Christopher Blake via phone (972) 342-5371.

Contact Information

Primary practice address
800 S Center St Grand Prairie TX 75051-1815
Phone: (972) 264-1662
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Richardson, Christopher Blake Doctor of Dental Surgery (DDS)
Phone: (972) 342-5371

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 27274 Texas

Profile Details

NPI number 1104215425
LBN Legal business name Leaf Dentistry Llc
DBA Doing business as Leaf Family Dentistry
Authorized official Richardson, Christopher Blake Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 12th, 2015
Last updated Jan 12th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1104215425 NPPES
Texas MEDICAID 1902184476

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