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ALVARADO FAMILY DENTISTRY NPI 1396095394


NPI Information

NPI: 1396095394
Provider Name: ALVARADO FAMILY DENTISTRY

Doing Business As: ALAVARDO FAMILY DENTISTRY

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

Specialization: Dental

CLIA Number: 45D0679642

Address:
905 N. CUMMINGS DRIVE
ALAVARDO, TX
ZIP 76009
Phone: (817) 783-6700
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ALVARADO FAMILY DENTISTRY is a dental clinic center in Alavardo, TX. ALVARADO FAMILY DENTISTRY NPI is 1396095394. The provider is registered as an organization entity type.
The provider Is Doing Business As Alavardo Family Dentistry.

The provider's business location address is:

905 N. CUMMINGS DRIVE
ALAVARDO, TX
ZIP 76009
Phone: (817) 783-6700

The provider's authorized official is Eseoghene E Okugbaye .
The authorized official title is Dentist and has the following contact phone number (678) 698-1440.

The CLIA number assigned to this NPI record is 45D0679642 - skilled nursing facility/nursing facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/17/2012 and was last updated on 9/17/2012.


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/CenterDental26223TEXASYes

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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