CREEKWOOD DENTAL ARTS PLLC NPI 1235735218

NPI Information

NPI: 1235735218
Provider Name: CREEKWOOD DENTAL ARTS, PLLC
Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

Address:
7911 WOODWAY DR
WACO, TX
ZIP 76712
Phone: (254) 772-3632
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CREEKWOOD DENTAL ARTS, PLLC is a dental clinic center in Waco, TX. CREEKWOOD DENTAL ARTS, PLLC NPI is 1235735218. The provider is registered as an organization entity type.

The provider's business location address is:

7911 WOODWAY DR
WACO, TX
ZIP 76712-866
Phone: (254) 772-3632
Fax: (254) 772-7856

The provider's authorized official is Austin Revvie Green .
The authorized official title is Dentist and has the following contact phone number (254) 772-3632.

The enumeration date for this NPI number is 12/7/2020 and was last updated on 12/7/2020.

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			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

NPI Synchronization or Removal

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