River Rock Pediatric Dentistry, Pc
LBN: River Rock Pediatric Dentistry, Pc
River Rock Pediatric Dentistry, Pc is an health care organization with primary practice located at 5900 W Slaughter Ln Suite 470, Austin TX 78749-6511. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty.
River Rock Pediatric Dentistry, Pc can be contacted via phone (512) 462-4775, or through Booth, Jackson via phone (512) 739-9440.
Contact Information
Primary practice address
5900 W Slaughter Ln Suite 470
Austin TX 78749-6511
Phone: (512) 462-4775
Fax: (512) 462-4782
Website:
Authorized official contact:
Name: Booth, Jackson Doctor of Dental Surgery (DDS)
Phone: (512) 739-9440
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 23496 | Texas |
Profile Details
| NPI number | 1235505702 |
|---|---|
| LBN Legal business name | River Rock Pediatric Dentistry, Pc |
| DBA Doing business as | |
| Authorized official | Booth, Jackson Doctor of Dental Surgery (DDS) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Aug 19th, 2015 |
| Last updated | Aug 19th, 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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