PRESTON RIDGE DENTAL NPI 1548533391

NPI Information

NPI: 1548533391
Provider Name: PRESTON RIDGE DENTAL
Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
3311 PRESTON RD STE 10
FRISCO, TX
ZIP 75034
Phone: (972) 668-7118
Get Directions

PRESTON RIDGE DENTAL is a general practice dentist in Frisco, 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. PRESTON RIDGE DENTAL NPI is 1548533391. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3311 PRESTON RD STE 10
FRISCO, TX
ZIP 75034-027
Phone: (972) 668-7118

The provider's authorized official is Cameron Brian Herring .
The authorized official title is Dentist and has the following contact phone number (972) 668-7118.

The enumeration date for this NPI number is 2/9/2012 and was last updated on 2/9/2012.

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
1	1223G0001X	Dentist	General Practice	22184	TEXAS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	205070001	MEDICAID	TEXAS

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

NPI Synchronization or Removal

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