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NORTHEAST DALLAS DENTAL ASSOCIATES PLLC NPI 1932566213


NPI Information

NPI: 1932566213
Provider Name: NORTHEAST DALLAS DENTAL ASSOCIATES, PLLC

Doing Business As: PINE COVE DENTAL

Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
1560 E DEBBIE LN STE 108
MANSFIELD, TX
ZIP 76063
Phone: (817) 453-8520
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NORTHEAST DALLAS DENTAL ASSOCIATES, PLLC is a general practice dentist in Mansfield, 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. NORTHEAST DALLAS DENTAL ASSOCIATES, PLLC NPI is 1932566213. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Pine Cove Dental.

The provider's business location address is:

1560 E DEBBIE LN STE 108
MANSFIELD, TX
ZIP 76063-575
Phone: (817) 453-8520

The provider's authorized official is Levy T Do .
The authorized official title is President and has the following contact phone number (405) 633-3396.

The enumeration date for this NPI number is 1/18/2016 and was last updated on 1/23/2018.


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 Practice28984TEXASYes

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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