Pine Creek Dental, Pllc

LBN: Pine Creek Dental, Pllc
Pine Creek Dental, Pllc is an health care organization with primary practice located at 7925 S Broadway Ave Ste 300 , Tyler TX 75703-5227. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Pine Creek Dental, Pllc can be contacted via phone (903) 561-2232, or through Tutt, Christopher via phone (903) 561-2232.

Contact Information

Primary practice address
7925 S Broadway Ave Ste 300 Tyler TX 75703-5227
Phone: (903) 561-2232
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Tutt, Christopher Doctor of Dental Surgery (DDS)
Phone: (903) 561-2232

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X

Profile Details

NPI number 1639549454
LBN Legal business name Pine Creek Dental, Pllc
DBA Doing business as
Authorized official Tutt, Christopher Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 6th, 2015
Last updated Jan 6th, 2016 - about 10 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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