<Unavail>

LBN: Richard Shad Hattaway, Dds, Pllc
<Unavail> is an health care organization with primary practice located at 1016 E Hebron Pkwy Ste. 170, Carrollton TX 75010-1022. The organization recently has only one registered license in Dental Providers / Dentist, which is considered as the primary health care specialty. Richard Shad Hattaway, Dds, Pllc can be contacted via phone (972) 836-8653, or through Hattaway, Richard Shad via phone (972) 836-8653.

Contact Information

Primary practice address
1016 E Hebron Pkwy Ste. 170 Carrollton TX 75010-1022
Fax:
Website:
Authorized official contact:
Name: Hattaway, Richard Shad Doctor of Dental Surgery (DDS)

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 30158 Texas

Profile Details

NPI number 1811422942
LBN Legal business name Richard Shad Hattaway, Dds, Pllc
DBA Doing business as <Unavail>
Authorized official Hattaway, Richard Shad Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 26th, 2017
Last updated Apr 26th, 2017 - about 9 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 1811422942 NPPES
Texas MEDICAID 1992149306

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