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PROSPER FAMILY DENTISTRY NPI 1821462102


NPI Information

NPI: 1821462102
Provider Name: PROSPER FAMILY DENTISTRY
Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

CLIA Number: 45D1060173

Address:
201 N PRESTON RD
SUITE A
PROSPER, TX
ZIP 75078
Phone: (972) 347-1145
Get Directions

PROSPER FAMILY DENTISTRY is a general practice dentist in Prosper, 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. PROSPER FAMILY DENTISTRY NPI is 1821462102. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

201 N PRESTON RD
SUITE A
PROSPER, TX
ZIP 75078-627
Phone: (972) 347-1145
Fax: (972) 347-1147

The provider's authorized official is Jacob Patrick Sentlingar .
The authorized official title is Secretary/business Manager and has the following contact phone number (972) 989-1966.

The CLIA number assigned to this NPI record is 45D1060173 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 11/24/2015 and was last updated on 11/24/2015.


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

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