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JUSTIN FAMILY DENTISTRY PA NPI 1912247354


NPI Information

NPI: 1912247354
Provider Name: JUSTIN FAMILY DENTISTRY, PA
Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

CLIA Number: 45D0991782

Address:
536 S. FM 156
JUSTIN, TX
ZIP 76247
Phone: (972) 948-9483
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JUSTIN FAMILY DENTISTRY, PA is a general practice dentist in Justin, 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. JUSTIN FAMILY DENTISTRY, PA NPI is 1912247354. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

536 S. FM 156
JUSTIN, TX
ZIP 76247
Phone: (972) 948-9483

The provider's authorized official is Kevin Hung Nguyen .
The authorized official title is Owner/president and has the following contact phone number (972) 948-9483.

The CLIA number assigned to this NPI record is 45D0991782 - practitioner other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/21/2013 and was last updated on 8/31/2015.


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 Practice25567TEXASYes

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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