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GRAND PRAIRIE FAMILY DENTAL GROUP NPI 1194951798


NPI Information

NPI: 1194951798
Provider Name: GRAND PRAIRIE FAMILY DENTAL GROUP

Doing Business As: GRAND PRAIRIE FAMILY DENTAL

Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
2475 W PIONEER PKWY
GRAND PRAIRIE, TX
ZIP 75051
Phone: (972) 988-0900
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GRAND PRAIRIE FAMILY DENTAL GROUP 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. GRAND PRAIRIE FAMILY DENTAL GROUP NPI is 1194951798. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Grand Prairie Family Dental.

The provider's business location address is:

2475 W PIONEER PKWY
GRAND PRAIRIE, TX
ZIP 75051-527
Phone: (972) 988-0900
Fax: (972) 660-1167

The provider's authorized official is Behrooz Khademazad .
The authorized official title is Owner and has the following contact phone number (972) 988-0900.

The enumeration date for this NPI number is 6/9/2009 and was last updated on 6/9/2009.


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 Practice15515TEXASYes

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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