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MEMBERS ONLY DENTAL PA NPI 1811376387


NPI Information

NPI: 1811376387
Provider Name: MEMBERS ONLY DENTAL PA

Doing Business As: BELLA VITA DENTISTRY

Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
925 TROPHY CLUB DR
TROPHY CLUB, TX
ZIP 76262
Phone: (817) 345-6960
Get Directions

MEMBERS ONLY DENTAL PA is a general practice dentist in Trophy Club, 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. MEMBERS ONLY DENTAL PA NPI is 1811376387. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Bella Vita Dentistry.

The provider's business location address is:

925 TROPHY CLUB DR
TROPHY CLUB, TX
ZIP 76262-582
Phone: (817) 345-6960

The provider's authorized official is Joshua Foreman .
The authorized official title is President and has the following contact phone number (817) 345-6960.

The enumeration date for this NPI number is 5/29/2015 and was last updated on 5/29/2015.


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
11223G0001XDentistGeneral Practice23918TEXASYes

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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