BOERNE ORTHODONTICS PLLC NPI 1932515020

NPI Information

NPI: 1932515020
Provider Name: BOERNE ORTHODONTICS, PLLC
Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

Address:
215 W BANDERA RD
SUITE # 112
BOERNE, TX
ZIP 78006
Phone: (830) 331-8008
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BOERNE ORTHODONTICS, PLLC is a dental clinic center in Boerne, TX. BOERNE ORTHODONTICS, PLLC NPI is 1932515020. The provider is registered as an organization entity type.

The provider's business location address is:

215 W BANDERA RD
SUITE # 112
BOERNE, TX
ZIP 78006-820
Phone: (830) 331-8008

The provider's authorized official is James Vandeberg .
The authorized official title is Owner and has the following contact phone number (830) 331-8008.

The enumeration date for this NPI number is 7/9/2014 and was last updated on 7/10/2014.

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	23213	TEXAS	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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