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IVODENT GROUP PLLC NPI 1093119331


NPI Information

NPI: 1093119331
Provider Name: IVODENT GROUP PLLC

Doing Business As: LEGACY PARK DENTAL

Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
1001 NE GREEN OAKS BLVD
129
ARLINGTON, TX
ZIP 76006
Phone: (817) 789-4480
Get Directions

IVODENT GROUP PLLC is a general practice dentist in Arlington, 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. IVODENT GROUP PLLC NPI is 1093119331. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Legacy Park Dental.

The provider's business location address is:

1001 NE GREEN OAKS BLVD
129
ARLINGTON, TX
ZIP 76006-318
Phone: (817) 789-4480

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

The enumeration date for this NPI number is 10/15/2014 and was last updated on 10/15/2014.


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

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: 11/14/2023

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