FREEPORT DENTAL GROUP PLLC NPI 1699231365

NPI Information

NPI: 1699231365
Provider Name: FREEPORT DENTAL GROUP PLLC
Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

CLIA Number: 45D1039056

Address:
313 S BRAZOSPORT BLVD
FREEPORT, TX
ZIP 77541
Phone: (979) 233-6000
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FREEPORT DENTAL GROUP PLLC is a dental clinic center in Freeport, TX. FREEPORT DENTAL GROUP PLLC NPI is 1699231365. The provider is registered as an organization entity type.

The provider's business location address is:

313 S BRAZOSPORT BLVD
FREEPORT, TX
ZIP 77541-506
Phone: (979) 233-6000

The provider's authorized official is Daniel Giv .
The authorized official title is Owner and has the following contact phone number (832) 605-0349.

The CLIA number assigned to this NPI record is 45D1039056 - ambulance with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/18/2019 and was last updated on 2/18/2019.

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
1	261QD0000X	Clinic/Center	Dental			Yes

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: 11/14/2023

NPI Synchronization or Removal

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