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TK FAMILY DENTISTRY PLLC NPI 1215589718


NPI Information

NPI: 1215589718
Provider Name: TK FAMILY DENTISTRY PLLC
Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

Address:
10760 N LOOP DR
SOCORRO, TX
ZIP 79927
Phone: (915) 204-6941
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TK FAMILY DENTISTRY PLLC is a dental clinic center in Socorro, TX. TK FAMILY DENTISTRY PLLC NPI is 1215589718. The provider is registered as an organization entity type.

The provider's business location address is:

10760 N LOOP DR
SOCORRO, TX
ZIP 79927-688
Phone: (915) 204-6941

The provider's authorized official is Anthony John Kasallis .
The authorized official title is Owner and has the following contact phone number (915) 204-6941.

The enumeration date for this NPI number is 7/15/2019 and was last updated on 7/15/2019.


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
1261QD0000XClinic/CenterDentalYes

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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