BAY CITY FAMILY DENTISTRY PLLC NPI 1316408115

NPI Information

NPI: 1316408115
Provider Name: BAY CITY FAMILY DENTISTRY PLLC
Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

CLIA Number: 45D2240757

Address:
2521 AVENUE H
BAY CITY, TX
ZIP 77414
Phone: (979) 245-2104
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BAY CITY FAMILY DENTISTRY PLLC is a dental clinic center in Bay City, TX. BAY CITY FAMILY DENTISTRY PLLC NPI is 1316408115. The provider is registered as an organization entity type.

The provider's business location address is:

2521 AVENUE H
BAY CITY, TX
ZIP 77414-029
Phone: (979) 245-2104

The provider's authorized official is Hanuman S Gade .
The authorized official title is President and has the following contact phone number (713) 679-8986.

The CLIA number assigned to this NPI record is 45D2240757 - other - school district with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/26/2019 and was last updated on 3/26/2019.

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
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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