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NPI Code Detail

MEDICARE: HIVE DENTAL FRESNO PLLC

MEDICARE: HIVE DENTAL FRESNO PLLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QD0000XDental Clinic/Center

General Provider Information

NPI Number : 1720919723
Entity Type Code : Organization
Provider Name (Legal Business Name) : HIVE DENTAL FRESNO PLLC
Provider Business Mailing Address
First Line : 11702 BISTRO LN
Second Line :
City : HOUSTON
State : TX
Zip : 77082-2726
Country : US
Telephone Number : 832-818-0665
Fax Number :
Provider Business Practice Location Address
First Line : 12125 HIGHWAY 6 STE D
Second Line :
City : FRESNO
State : TX
Zip : 77545-8844
Country : US
Telephone Number : 832-818-0665
Fax Number :
Authorized Official
Title or Position : MANAGER
Name : HARRY BAO
Credential :
Telephone Number : 832-818-0665
Provider Enumeration Date : 05/27/2026
Last Update Date : 05/27/2026

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Directions to “HIVE DENTAL FRESNO PLLC ” Practice Location

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