Erickson Family Dentistry PLLC
Dentist in Venus, TX. Organization (NPI-2).
NPI number1215352000
StatusActive
Last updated in NPPESJun 9, 2014
Details
- NPI
- 1215352000
- Entity type
- Organization (NPI-2)
- Legal business name
- Erickson Family Dentistry PLLC
- Organization subpart
- No
- Enumeration date
- Mar 3, 2014
- Last updated
- Jun 9, 2014
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | 9729 | TX | Yes |
Practice location
206 S Main StVenus, TX 76084
Phone 972-366-3900
Mailing address
206 S Main StVenus, TX 76084
Authorized official
John Erickson
Manager
8175865234
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