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WSJ DENTAL PLLC NPI 1649793316


NPI Information

NPI: 1649793316
Provider Name: WSJ DENTAL PLLC

Doing Business As: GARLAND GROVE DENTISTRY

Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
1213 W STATE ST STE A
GARLAND, TX
ZIP 75040
Phone: (972) 272-3585
Get Directions

WSJ DENTAL PLLC 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. WSJ DENTAL PLLC NPI is 1649793316. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Garland Grove Dentistry.

The provider's business location address is:

1213 W STATE ST STE A
GARLAND, TX
ZIP 75040-153
Phone: (972) 272-3585

The provider's authorized official is Woo Sung Jung .
The authorized official title is Dentist and has the following contact phone number (949) 689-0898.

The enumeration date for this NPI number is 7/24/2017 and was last updated on 7/24/2017.


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 Practice29318TEXASYes

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

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