RED RIVER FAMILY DENTAL PLLC NPI 1063853281

NPI Information

  • NPI: 1063853281
  • Provider Name: RED RIVER FAMILY DENTAL, PLLC
  • Classification: Dentist - 1223G0001X
  • Specialization: General Practice
  • Entity Type: Organization
  • Address: 1320 N GRAND AVE
    UNIT B
    GAINESVILLE, TX
    ZIP 76240
  • Phone: (702) 376-7374

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NPI Details

RED RIVER FAMILY DENTAL, PLLC is a general practice dentist in Gainesville, 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. RED RIVER FAMILY DENTAL, PLLC NPI is 1063853281. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1320 N GRAND AVE
UNIT B
GAINESVILLE, TX
ZIP 76240-813
Phone: (702) 376-7374

The provider's authorized official is Kevin Dale Stewart .
The authorized official title is Owner and has the following contact phone number (702) 376-7374.

The enumeration date for this NPI number is 7/16/2013 and was last updated on 7/16/2013.

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 Practice24935TEXASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11295049781MEDICAIDTEXAS

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: 3/30/2025

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