Life Dental

LBN: Sparkle Dental Center
Life Dental is an health care organization with primary practice located at 3330 Douglas Ave , Dallas TX 75219-2717. The organization recently has only one registered license in Ambulatory Health Care Facilities / Dental, which is considered as the primary health care specialty. Sparkle Dental Center can be contacted via phone (214) 780-0600, or through Nguyen, Tuan via phone (214) 780-0600.

Contact Information

Primary practice address
3330 Douglas Ave Dallas TX 75219-2717
Phone: (214) 780-0600
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Nguyen, Tuan
Phone: (214) 780-0600

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Dental 261QD0000X 21736 Texas

Profile Details

NPI number 1700920188
LBN Legal business name Sparkle Dental Center
DBA Doing business as Life Dental
Authorized official Nguyen, Tuan
Entity Organization
Organization subpart 1 No
Enumeration date Feb 17th, 2007
Last updated Jan 6th, 2022 - about 4 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 1700920188 NPPES
Texas MEDICAID 176281701

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