Permian Basin Dental Group in Odessa - Dentist
Permian Basin Dental Group - NPI 1972625978
Permian Basin Dental Group is a Dentist in Odessa, Texas. Permian Basin Dental Group practices all healthcare services and medical treatments related to Dentist. The NPI Number for Permian Basin Dental Group is 1972625978. The last update date is 2012-08-08.
Permian Basin Dental Group's current location address is 2631 Faudree Rd Unit B, Odessa, Texas. You can contact this provider via phone number 4325631760 and fax number 4325631763. The mailing address for Permian Basin Dental Group is 2631 Faudree Rd Unit B, Odessa, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Permian Basin Dental Group |
|---|---|
| Address | 2631 Faudree Rd Unit B, Odessa, Texas |
| Phone Number | 4325631760 |
| Fax Number | 4325631763 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Higgins Welby Kenneth |
| Credentials | D.D.S. |
| Telephone Number | 4325631760 |
NPI Number Detail
| NPI Number | 1972625978 |
|---|---|
| Provider Enumeration Date | 2007-04-03 |
| Last Updated Date | 2012-08-08 |
Provider Mailing Address Detail
| Address | 2631 Faudree Rd Unit B |
|---|---|
| City | Odessa |
| State | Texas (TX) |
| Post Code | 797658530 |
| Phone Number | 4325631760 |
| Fax Number | 4325631763 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 12663 |
|
Definition: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: denti |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 177458001 | TX | -- |
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What is the unique identification code assigned to Permian Basin Dental Group by the Centers for Medicare & Medicaid Services?
The Permian Basin Dental Group has been issued the NPI (National Provider Identifier) 1972625978. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Where is the Permian Basin Dental Group located?
The Permian Basin Dental Group is located at 2631 Faudree Rd Unit B, Odessa, TX 797658530.
What is Permian Basin Dental Group's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Permian Basin Dental Group is Dentist, and the corresponding taxonomy classification code for this specialized field is 122300000X.
When did the Permian Basin Dental Group receive its 1972625978?
The Permian Basin Dental Group was issued its 1972625978 on 2007-04-03, which is the date when the organization was assigned this unique identifier.
When was the information regarding Permian Basin Dental Group most recently updated?
The details pertaining to the Permian Basin Dental Group, including its address, specialty, and other relevant information, were last refreshed on 2012-08-08.
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