Paul Sartain Denson, D.D.S.

Individual provider Active NPI General Practice Dentistry · Lindale, TX

NPI 1114199601 · NPPES record last updated Mar 25, 2008

Key facts

NPI
1114199601
Entity type
Individual (NPI type 1)
Primary specialty
General Practice Dentistry 1223G0001X
License
23283 (TX)
Practice address
410 Eagle Spirit Dr
Lindale, TX 75771-3300
Phone
(903) 882-6141
Fax
(903) 882-3558
NPI assigned
Mar 25, 2008
Sex
Male
Sole proprietor
Yes

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
23283TXMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
B Clay Keith DDS PA General Practice Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 23283 TX Yes

Addresses

Primary practice location

410 Eagle Spirit Dr
Lindale, TX 75771-3300

Mailing address

410 Eagle Spirit Dr
Lindale, TX 75771-3300
Phone (903) 882-6141

Other providers in Lindale, TX

All providers in Lindale, TX · General Practice Dentistry in Texas

Sources for this page

Verify at the official NPI Registry.