<Unavail>

LBN: Rackham Dental Llc
<Unavail> is an health care organization with primary practice located at 6658 Summer Fest Drive , San Antonio TX 78244. The organization recently has only one registered license in Dental Providers / Dentist, which is considered as the primary health care specialty. Rackham Dental Llc can be contacted via phone (801) 920-8772, or through Rackham, Joshua Lee via phone (801) 920-8772.

Contact Information

Primary practice address
6658 Summer Fest Drive San Antonio TX 78244
Phone: (801) 920-8772
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Rackham, Joshua Lee Doctor of Dental Medicine (DMD)
Phone: (801) 920-8772

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 27186 Texas

Profile Details

NPI number 1699144022
LBN Legal business name Rackham Dental Llc
DBA Doing business as <Unavail>
Authorized official Rackham, Joshua Lee Doctor of Dental Medicine (DMD)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 16th, 2015
Last updated Sep 16th, 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 1699144022 NPPES
Texas MEDICAID 214414901

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