<Unavail>

LBN: Villa Dental, Pllc
<Unavail> is an health care organization with primary practice located at 1546 Babcock Rd Ste 105, San Antonio TX 78229-4724. The organization recently has only one registered license in Ambulatory Health Care Facilities / Dental, which is considered as the primary health care specialty. Villa Dental, Pllc can be contacted via phone (504) 810-2760, or through Staes, Emanuel J via phone (504) 810-2760.

Contact Information

Primary practice address
1546 Babcock Rd Ste 105 San Antonio TX 78229-4724
Phone: (504) 810-2760
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Staes, Emanuel J Doctor of Dental Surgery (DDS)
Phone: (504) 810-2760

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Dental 261QD0000X 28289 Texas

Profile Details

NPI number 1699181578
LBN Legal business name Villa Dental, Pllc
DBA Doing business as <Unavail>
Authorized official Staes, Emanuel J Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 11th, 2014
Last updated Feb 4th, 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 1699181578 NPPES
Texas MEDICAID 1336495738

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