Restore Dental Pllc
LBN: Restore Dental Pllc
Restore Dental Pllc is an health care organization with primary practice located at 3108 W State Highway 22 , Corsicana TX 75110-2435. The organization recently has 2 registered licenses in different health care specialties including Dental Providers / General Practice, Ambulatory Health Care Facilities / Dental. Ambulatory Health Care Facilities / Dental is the primary health care specialty.
Restore Dental Pllc can be contacted via phone (903) 257-8815, or through Gondi, Mahesh B. via phone (903) 257-8815.
Contact Information
Primary practice address
3108 W State Highway 22
Corsicana TX 75110-2435
Phone: (903) 257-8815
Fax: (903) 900-4184
Website:
Authorized official contact:
Name: Gondi, Mahesh B. Doctor of Dental Medicine (DMD)
Phone: (903) 257-8815
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 22213 | Texas |
| Ambulatory Health Care Facilities / Dental | 261QD0000X | 22213 | Texas |
Profile Details
| NPI number | 1104215367 |
|---|---|
| LBN Legal business name | Restore Dental Pllc |
| DBA Doing business as | |
| Authorized official | Gondi, Mahesh B. Doctor of Dental Medicine (DMD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jan 12th, 2015 |
| Last updated | Jan 14th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1104215367 | NPPES |
| Texas | Other | 1306909080 | NPI |
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