Provider / Organization | NPI | Date Certified |
---|---|---|
TH DENTAL PLLC | 1093439291 | 2022-12-05 |
The organization Th Dental Pllc is registered with the National Plan and Provider Enumeration System (NPPES) and has the assigned NPI of 1093439291. Registration indicates Th Dental Pllc is a provider of access to dentists-general services with a specialization in Dental Providers, Dentist (Dental Providers, Dentist) (Dentist, ) (Dental, ) (Dentist, Dental Providers) (Ambulatory Health Care Facilities, Clinic/Center) (Clinic/Center: Dental, ) (Clinic/Center Dental, Ambulatory Health Care Facilities) (Clinic/Center, )
Code | Practice | License No State |
---|---|---|
122300000X PRIMARY | Access to Dentists-General Dental Providers Dentist Dental Providers Dentist Dentist Dental Dentist Dental Providers | |
261QD0000X | Ambulatory Health Care Facilities Clinic/Center Clinic/Center: Dental Clinic/Center Dental Ambulatory Health Care Facilities Clinic/Center | |
193400000X SING | Group Code |
1407168016 | MEDICAID | TX |