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JR DENTAL GROUP PLLC NPI 1063892685


NPI Information

NPI: 1063892685
Provider Name: JR DENTAL GROUP, PLLC

Doing Business As: RIO GRANDE FAMILY DENTAL

Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
11501 SOCORRO RD
SOCORRO, TX
ZIP 79927
Phone: (915) 603-4633
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JR DENTAL GROUP, PLLC is a general practice dentist in Socorro, 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. JR DENTAL GROUP, PLLC NPI is 1063892685. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Rio Grande Family Dental.

The provider's business location address is:

11501 SOCORRO RD
SOCORRO, TX
ZIP 79927-060
Phone: (915) 603-4633
Fax: (877) 796-0125

The provider's authorized official is Julie Lim .
The authorized official title is Administrator and has the following contact phone number (915) 603-4633.

The enumeration date for this NPI number is 6/9/2015 and was last updated on 12/2/2015.


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
11223S0112XDentistOral and Maxillofacial SurgeryNo
21223X0400XDentistOrthodontics and Dentofacial OrthopedicsNo
3124Q00000XDental HygienistNo
4126800000XDental AssistantNo
5122300000XDentistNo
61223D0004XDentistDentist AnesthesiologistNo
71223E0200XDentistEndodonticsNo
81223P0221XDentistPediatric DentistryNo
91223P0300XDentistPeriodonticsNo
101223P0700XDentistProsthodonticsNo
111223G0001XDentistGeneral PracticeYes

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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