Provider Demographics
NPI:1669974598
Name:6 TO 9 DENTAL, PLLC
Entity type:Organization
Organization Name:6 TO 9 DENTAL, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:VIRGINIA
Authorized Official - Middle Name:POTTER
Authorized Official - Last Name:HUMPHREY
Authorized Official - Suffix:II
Authorized Official - Credentials:DDS
Authorized Official - Phone:210-333-6911
Mailing Address - Street 1:651 N BUSINESS IH 35 STE 730
Mailing Address - Street 2:
Mailing Address - City:NEW BRAUNFELS
Mailing Address - State:TX
Mailing Address - Zip Code:78130-7875
Mailing Address - Country:US
Mailing Address - Phone:210-333-6911
Mailing Address - Fax:
Practice Address - Street 1:651 N BUSINESS IH 35 STE 730
Practice Address - Street 2:
Practice Address - City:NEW BRAUNFELS
Practice Address - State:TX
Practice Address - Zip Code:78130-7875
Practice Address - Country:US
Practice Address - Phone:210-333-6911
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-03-07
Last Update Date:2018-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental