MATT HENDRICKSON PLLC NPI 1053688895

NPI Information

NPI: 1053688895
Provider Name: MATT HENDRICKSON PLLC

Doing Business As: HERITAGE DENTAL

Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

Address:
1434 N CENTRAL EXPY
SUITE 121
MCKINNEY, TX
ZIP 75070
Phone: (972) 542-4402
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MATT HENDRICKSON PLLC is a dental clinic center in Mckinney, TX. MATT HENDRICKSON PLLC NPI is 1053688895. The provider is registered as an organization entity type.
The provider Is Doing Business As Heritage Dental.

The provider's business location address is:

1434 N CENTRAL EXPY
SUITE 121
MCKINNEY, TX
ZIP 75070-106
Phone: (972) 542-4402
Fax: (972) 542-2553

The provider's authorized official is Matt Hendrickson .
The authorized official title is Owner and has the following contact phone number (972) 542-4402.

The enumeration date for this NPI number is 11/22/2011 and was last updated on 11/22/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QD0000X	Clinic/Center	Dental	20486	TEXAS	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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