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FIFTH DENTAL PARTNER PLLC NPI 1730722067


NPI Information

NPI: 1730722067
Provider Name: FIFTH DENTAL PARTNER PLLC

Doing Business As: TESLA DENTISTRY

Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
2831 W 15TH ST STE 200
PLANO, TX
ZIP 75075
Phone: (972) 360-0805
Get Directions

FIFTH DENTAL PARTNER PLLC is a general practice dentist in Plano, 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. FIFTH DENTAL PARTNER PLLC NPI is 1730722067. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As Tesla Dentistry.

The provider's business location address is:

2831 W 15TH ST STE 200
PLANO, TX
ZIP 75075-527
Phone: (972) 360-0805

The provider's authorized official is Andy Chang .
The authorized official title is Owner and has the following contact phone number (972) 360-0805.

The enumeration date for this NPI number is 10/18/2019 and was last updated on 12/18/2020.


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
11223G0001XDentistGeneral PracticeYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11104040740MEDICAIDTEXAS

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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