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DENTAL RESORT PLLC NPI 1962948091


NPI Information

NPI: 1962948091
Provider Name: DENTAL RESORT PLLC

Doing Business As: DENTAL RESORT

Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
2100 DALLAS PKWY
STE 120
PLANO, TX
ZIP 75093
Phone: (530) 400-8008
Get Directions

DENTAL RESORT 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. DENTAL RESORT PLLC NPI is 1962948091. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Dental Resort.

The provider's business location address is:

2100 DALLAS PKWY
STE 120
PLANO, TX
ZIP 75093-363
Phone: (530) 400-8008
Fax: (866) 892-0774

The provider's authorized official is Shawn Nemovi .
The authorized official title is Owner and has the following contact phone number (530) 400-8008.

The enumeration date for this NPI number is 1/12/2017 and was last updated on 1/12/2017.


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 Practice28204TEXASYes

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
11669727558OTHERTEXASNPI TYPE 1

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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