IVODENT GROUP PLLC NPI 1023356359

NPI Information

  • NPI: 1023356359
  • Provider Name: IVODENT GROUP, PLLC
  • Classification: Clinic/Center - 261QD0000X
  • Specialization: Dental
  • Entity Type: Organization
  • Doing Business As: GREAT OAK DENTAL
  • Address: 3851 SW GREEN OAKS BLVD
    STE 101
    ARLINGTON, TX
    ZIP 76017
  • Phone: (817) 703-3791

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NPI Details

IVODENT GROUP, PLLC is a dental clinic center in Arlington, TX. IVODENT GROUP, PLLC NPI is 1023356359. The provider is registered as an organization entity type.
The provider Is Doing Business As Great Oak Dental.

The provider's business location address is:

3851 SW GREEN OAKS BLVD
STE 101
ARLINGTON, TX
ZIP 76017-130
Phone: (817) 703-3791

The provider's authorized official is Jackilyn Dang .
The authorized official title is Director and has the following contact phone number (817) 703-3791.

The enumeration date for this NPI number is 1/21/2013 and was last updated on 1/21/2013.

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
1261QD0000XClinic/CenterDental27231TEXASYes

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: 11/21/2025

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