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GP FAMILY DENTISTRY PLLC NPI 1104257880


NPI Information

NPI: 1104257880
Provider Name: GP FAMILY DENTISTRY PLLC

Doing Business As: KREST DENTAL

Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
117 N BELT LINE RD
GRAND PRAIRIE, TX
ZIP 75050
Phone: (972) 262-1395
Get Directions

GP FAMILY DENTISTRY PLLC is a general practice dentist in Grand Prairie, 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. GP FAMILY DENTISTRY PLLC NPI is 1104257880. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Krest Dental.

The provider's business location address is:

117 N BELT LINE RD
GRAND PRAIRIE, TX
ZIP 75050-800
Phone: (972) 262-1395
Fax: (972) 262-1397

The provider's authorized official is Soo Bin Kim .
The authorized official title is Owner/ Dentist and has the following contact phone number (404) 354-6787.

The enumeration date for this NPI number is 12/6/2013 and was last updated on 12/6/2013.


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 Practice21422TEXASYes

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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