Provider Demographics
NPI:1942403951
Name:DOC MANAGEMENT CORP
Entity Type:Organization
Organization Name:DOC MANAGEMENT CORP
Other - Org Name:ADAMS DENTAL CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:SCOTT
Authorized Official - Last Name:ADAMS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:281-446-5588
Mailing Address - Street 1:610 MELTON ST
Mailing Address - Street 2:SUITE 300
Mailing Address - City:MAGNOLIA
Mailing Address - State:TX
Mailing Address - Zip Code:77354-2365
Mailing Address - Country:US
Mailing Address - Phone:281-356-8014
Mailing Address - Fax:281-356-8714
Practice Address - Street 1:610 MELTON ST
Practice Address - Street 2:SUITE 300
Practice Address - City:MAGNOLIA
Practice Address - State:TX
Practice Address - Zip Code:77354-2365
Practice Address - Country:US
Practice Address - Phone:281-356-8014
Practice Address - Fax:281-356-8714
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-07
Last Update Date:2009-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX188501223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX0012411OtherFORTIS ASS EB
TX1754228-01Medicaid
TX255663OtherAETNA
TX62722OtherSAFEGUARD
TX996295OtherCOMPDENT
TX221290OtherCIGNA
TX63726OtherU. CONCORDIA
TX0005267OtherMANAGED DENTAL GUARD
TX1853OtherPRUDENTIAL
TX5948OtherNAT PACIFIC