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OLYMPIA HILLS FAMILY DENTAL PC NPI 1619371689


NPI Information

NPI: 1619371689
Provider Name: OLYMPIA HILLS FAMILY DENTAL, PC
Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
8056 SHIN OAK DR
STE 100
LIVE OAK, TX
ZIP 78233
Phone: (210) 658-3131
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OLYMPIA HILLS FAMILY DENTAL, PC is a general practice dentist in Live Oak, 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. OLYMPIA HILLS FAMILY DENTAL, PC NPI is 1619371689. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

8056 SHIN OAK DR
STE 100
LIVE OAK, TX
ZIP 78233
Phone: (210) 658-3131
Fax: (210) 658-9033

The provider's authorized official is Jerame K Hafen .
The authorized official title is President/dentist and has the following contact phone number (210) 845-8831.

The enumeration date for this NPI number is 10/20/2014 and was last updated on 4/20/2022.


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 Practice25021TEXASYes

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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