Dental Office

LBN: Pan Am Dental Lp
Dental Office is an health care organization with primary practice located at 600 Division Ave Suite A, San Antonio TX 78214-1350. The organization recently has only one registered license in Ambulatory Health Care Facilities / Clinic/Center, which is considered as the primary health care specialty. Pan Am Dental Lp can be contacted via phone (210) 342-2000, or through Mata, Barbara via phone (210) 342-2000.

Contact Information

Primary practice address
600 Division Ave Suite A San Antonio TX 78214-1350
Phone: (210) 342-2000
Fax: (210) 342-2517
Website:
Map and Directions
Authorized official contact:
Name: Mata, Barbara
Phone: (210) 342-2000

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Clinic/Center 261Q00000X 20176 Texas
Ambulatory Health Care Facilities / Clinic/Center 261Q00000X 20173 Texas

Profile Details

NPI number 1750409686
LBN Legal business name Pan Am Dental Lp
DBA Doing business as Dental Office
Authorized official Mata, Barbara
Entity Organization
Organization subpart 1 No
Enumeration date Mar 27th, 2007
Last updated Apr 25th, 2012 - about 14 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 1750409686 NPPES
Texas MEDICAID 155832201

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