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ADVANTAGE DENTAL ORAL HEALTH CENTER OF TEXAS PC NPI 1912610072


NPI Information

NPI: 1912610072
Provider Name: ADVANTAGE DENTAL ORAL HEALTH CENTER OF TEXAS PC

Doing Business As: ADVANTAGE DENTAL PLUS

Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
8062 FERGUSON RD
DALLAS, TX
ZIP 75228
Phone: (214) 227-7215
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ADVANTAGE DENTAL ORAL HEALTH CENTER OF TEXAS PC is a general practice dentist in Dallas, 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. ADVANTAGE DENTAL ORAL HEALTH CENTER OF TEXAS PC NPI is 1912610072. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Advantage Dental Plus.

The provider's business location address is:

8062 FERGUSON RD
DALLAS, TX
ZIP 75228-848
Phone: (214) 227-7215

The provider's authorized official is Sherrie Edmondson .
The authorized official title is Sr Manager, Licensing Credentialing and has the following contact phone number (629) 999-5014.

The enumeration date for this NPI number is 1/3/2023 and was last updated on 5/17/2023.


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
1122300000XDentistNo
21223P0221XDentistPediatric DentistryNo
31223S0112XDentistOral and Maxillofacial SurgeryNo
41223X0400XDentistOrthodontics and Dentofacial OrthopedicsNo
5261QD0000XClinic/CenterDentalNo
61223G0001XDentistGeneral 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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1454521201MEDICAIDTEXAS

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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