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TX DDS ALLIANCE - MARBELLA LLC NPI 1225678956


NPI Information

NPI: 1225678956
Provider Name: TX DDS ALLIANCE - MARBELLA, LLC

Doing Business As: MARBELLA DENTISTRY

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

Specialization: Dental

Address:
791 FM 1103 STE 119
CIBOLO, TX
ZIP 78108
Phone: (312) 882-4484
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TX DDS ALLIANCE - MARBELLA, LLC is a dental clinic center in Cibolo, TX. TX DDS ALLIANCE - MARBELLA, LLC NPI is 1225678956. The provider is registered as an organization entity type.
The provider Is Doing Business As Marbella Dentistry.

The provider's business location address is:

791 FM 1103 STE 119
CIBOLO, TX
ZIP 78108-673
Phone: (312) 882-4484

The provider's authorized official is Bryan Stimmler .
The authorized official title is Owner and has the following contact phone number (210) 774-5122.

The enumeration date for this NPI number is 1/10/2020 and was last updated on 7/16/2020.


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
1261QD0000XClinic/CenterDentalYes

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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