CRYSTAL FALLS FAMILY DENTISTRY PLLC NPI 1417135625

NPI Information

NPI: 1417135625
Provider Name: CRYSTAL FALLS FAMILY DENTISTRY, PLLC

Doing Business As: TUCKER FAMILY DENTISTRY

Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

Address:
10703 E CRYSTAL FALLS PKWY
LEANDER, TX
ZIP 78641
Phone: (512) 260-9333
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CRYSTAL FALLS FAMILY DENTISTRY, PLLC is a dental clinic center in Leander, TX. CRYSTAL FALLS FAMILY DENTISTRY, PLLC NPI is 1417135625. The provider is registered as an organization entity type.
The provider Is Doing Business As Tucker Family Dentistry.

The provider's business location address is:

10703 E CRYSTAL FALLS PKWY
LEANDER, TX
ZIP 78641-259
Phone: (512) 260-9333
Fax: (512) 260-9331

The provider's authorized official is Jonathan Daniel Tucker .
The authorized official title is Owner and has the following contact phone number (512) 260-9333.

The enumeration date for this NPI number is 2/11/2008 and was last updated on 6/23/2008.

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	22102	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

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