Matthew D Grace Dds, Pllc

LBN: Matthew D Grace Dds, Pllc
Matthew D Grace Dds, Pllc is an health care organization with primary practice located at 5621 S Broadway Ave , Tyler TX 75703-4348. The organization recently has only one registered license in Ambulatory Health Care Facilities / Dental, which is considered as the primary health care specialty. Matthew D Grace Dds, Pllc can be contacted via phone (903) 630-6313, or through Grace, Matthew D via phone (903) 316-9419.

Contact Information

Primary practice address
5621 S Broadway Ave Tyler TX 75703-4348
Phone: (903) 630-6313
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Grace, Matthew D Doctor of Dental Surgery (DDS)
Phone: (903) 316-9419

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Dental 261QD0000X

Profile Details

NPI number 1104397868
LBN Legal business name Matthew D Grace Dds, Pllc
DBA Doing business as
Authorized official Grace, Matthew D Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 6th, 2018
Last updated Dec 6th, 2018 - about 8 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