Provider Demographics
NPI:1447655600
Name:PLANET ORAL HEALTHCARE
Entity type:Organization
Organization Name:PLANET ORAL HEALTHCARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:
Authorized Official - Last Name:LABBE
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:909-496-0277
Mailing Address - Street 1:31480 CONCORD DR
Mailing Address - Street 2:# F
Mailing Address - City:MADISON HEIGHTS
Mailing Address - State:MI
Mailing Address - Zip Code:48071-1731
Mailing Address - Country:US
Mailing Address - Phone:216-835-1165
Mailing Address - Fax:
Practice Address - Street 1:1400 GUADALUPE ST
Practice Address - Street 2:
Practice Address - City:LAREDO
Practice Address - State:TX
Practice Address - Zip Code:78040-5315
Practice Address - Country:US
Practice Address - Phone:956-568-5537
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-10-30
Last Update Date:2014-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX305711223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial OrthopedicsGroup - Multi-Specialty