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1740626464 NPI number — OAK HOLLOW DENTAL, PLLC

NPI Number: 1740626464
Health Care Provider/Practitioner: OAK HOLLOW DENTAL, PLLC

Information about “1740626464” NPI (OAK HOLLOW DENTAL, PLLC) exists in 1740626464 in HTML format HTML  |  1740626464 in plain Text format TXT  |  1740626464 in PDF (Portable Document Format) PDF  |  1740626464 in an XML format XML  formats.

NPI Number : 1740626464 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1740626464",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "OAK HOLLOW DENTAL, PLLC",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "2250 THOUSAND OAKS DR",
    "SecondLineMailingAddress": "SUITE 120",
    "MailingAddressCityName": "SAN ANTONIO",
    "MailingAddressStateName": "TX",
    "MailingAddressPostalCode": "78232-3989",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "210-314-6635",
    "MailingAddressFaxNumber": "210-314-6703",
    "FirstLinePracticeLocationAddress": "2250 THOUSAND OAKS DR",
    "SecondLinePracticeLocationAddress": "SUITE 120",
    "PracticeLocationAddressCityName": "SAN ANTONIO",
    "PracticeLocationAddressStateName": "TX",
    "PracticeLocationAddressPostalCode": "78232-3989",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "210-314-6635",
    "PracticeLocationAddressFaxNumber": "210-314-6703",
    "EnumerationDate": "05/21/2013",
    "LastUpdateDate": "05/21/2013",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "ADAMS",
    "AuthorizedOfficialFirstName": "ROBYN",
    "AuthorizedOfficialMiddleName": "KATHLENE",
    "AuthorizedOfficialTitle": "GENERAL DENTIST",
    "AuthorizedOfficialNamePrefix": "DR.",
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "DMD",
    "AuthorizedOfficialTelephoneNumber": "210-314-6635",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "1223G0001X",
        "TaxonomyName": "General Practice Dentistry",
        "LicenseNumber": "27102",
        "LicenseNumberStateCode": "TX",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": {
      "HealthcareProviderTaxonomyGroup": {
        "HealthcareProviderTaxonomyGroupName": "193400000X SINGLE SPECIALTY  GROUP",
        "HealthcareProviderTaxonomyGroupDescription": "Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization."
      }
    }
  }
}
                
            

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