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DENTAL IMPLANT SURGERY CENTER NPI 1134158330


NPI Information

NPI: 1134158330
Provider Name: DENTAL IMPLANT SURGERY CENTER
Classification: Dentist - 1223P0300X
Entity Type: Organization

Specialization: Periodontics

Address:
7965 CUSTER ROAD
SUITE 114
PLANO, TX
ZIP 75025
Phone: (972) 527-4867
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DENTAL IMPLANT SURGERY CENTER is a periodontics dentist in Plano, TX. The provider is that specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. DENTAL IMPLANT SURGERY CENTER NPI is 1134158330. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

7965 CUSTER ROAD
SUITE 114
PLANO, TX
ZIP 75025-155
Phone: (972) 527-4867
Fax: (972) 665-1818

The provider's authorized official is Edward A Shinedling .
The authorized official title is Principal Surgeon, President and has the following contact phone number (972) 527-4867.

The enumeration date for this NPI number is 7/1/2006 and was last updated on 5/4/2009.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223P0300XDentistPeriodontics18760TEXASYes

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: 4/28/2024

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