Belton Total Dental and Orthodontics PLLC

Organization Active NPI Dentist · Belton, TX

NPI 1801341102 · NPPES record last updated Aug 17, 2016

Key facts

NPI
1801341102
Entity type
Organization (NPI type 2)
Primary specialty
Dentist 122300000X
Legal business name
BELTON TOTAL DENTAL AND ORTHODONTICS PLLC
Practice address
2511 N Main St Ste 101
Belton, TX 76513-1554
Phone
(254) 939-3113
NPI assigned
Aug 17, 2016
Organization subpart
No

Authorized official

Name
Mary Pu
Title
VP of Finance
Phone
(972) 869-3789

Corporate family (same tax ID) 1

Organizations that report the same tax identification number in the National Provider Directory.

National Provider Directory

Tax ID family
Belton Total Dental and Orthodontics PLLC (2 organizations share this tax ID)

Locations

2511 N Main St
Ste 101
Belton, TX 76513
Phone (254) 613-2159

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist
Group: 193400000X SINGLE SPECIALTY GROUP
122300000X Yes

Addresses

Primary practice location

2511 N Main St Ste 101
Belton, TX 76513-1554

Mailing address

2403 Lacy LN
Carrollton, TX 75006-6514

Other providers in Belton, TX

All providers in Belton, TX · Dentist in Texas

Sources for this page

Verify at the official NPI Registry.