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LUSHDENTAL NPI 1881187987


NPI Information

NPI: 1881187987
Provider Name: LUSHDENTAL
Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
1912 SHERWOOD WAY
SAN ANGELO, TX
ZIP 76901
Phone: (646) 256-2551
Get Directions

LUSHDENTAL is a general practice dentist in San Angelo, TX. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. LUSHDENTAL NPI is 1881187987. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1912 SHERWOOD WAY
SAN ANGELO, TX
ZIP 76901-926
Phone: (646) 256-2551

The provider's authorized official is Shedrack Okojie .
The authorized official title is Owner and has the following contact phone number (646) 256-2551.

The enumeration date for this NPI number is 6/13/2018 and was last updated on 6/13/2018.


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
11223G0001XDentistGeneral Practice32169TEXASYes

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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