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SHEPHERD LANE DENTAL ASSOCIATES NPI 1033443742


NPI Information

NPI: 1033443742
Provider Name: SHEPHERD LANE DENTAL ASSOCIATES

Doing Business As: TOWNGATE DENTAL

Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

CLIA Number: 45D0891586

Address:
2121 NORTHWEST HIGHWAY
SUITE 112
GARLAND, TX
ZIP 75041
Phone: (469) 331-9460
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SHEPHERD LANE DENTAL ASSOCIATES is a general practice dentist in Garland, TX. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. SHEPHERD LANE DENTAL ASSOCIATES NPI is 1033443742. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Towngate Dental.

The provider's business location address is:

2121 NORTHWEST HIGHWAY
SUITE 112
GARLAND, TX
ZIP 75041-851
Phone: (469) 331-9460
Fax: (469) 331-9461

The provider's authorized official is Harry Blanek .
The authorized official title is D.d.s./president and has the following contact phone number (972) 512-0285.

The CLIA number assigned to this NPI record is 45D0891586 - end stage renal disease dialysis facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/28/2009 and was last updated on 3/4/2015.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223G0001XDentistGeneral PracticeYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.