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EALE DENTAL NPI 1770758682


NPI Information

NPI: 1770758682
Provider Name: EALE DENTAL

Doing Business As: WYLIE DENTAL AND ORTHODONTICS

Classification: Preferred Provider Organization - 305R00000X
Entity Type: Organization
Address:
2041 N HWY 78
SUITE 105
WYLIE, TX
ZIP 75098
Phone: (972) 941-8338
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EALE DENTAL is a preferred provider organization in Wylie, TX. The provider is a group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level. EALE DENTAL NPI is 1770758682. The provider is registered as an organization entity type.
The provider Is Doing Business As Wylie Dental And Orthodontics.

The provider's business location address is:

2041 N HWY 78
SUITE 105
WYLIE, TX
ZIP 75098-044
Phone: (972) 941-8338
Fax: (972) 941-6760

The provider's authorized official is April L Kaneira .
The authorized official title is Dentist and has the following contact phone number (972) 941-8338.

The enumeration date for this NPI number is 4/23/2008 and was last updated on 4/23/2008.


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
1305R00000XPreferred Provider Organization20062TEXASYes

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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