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EAST GRAND FAMILY DENTISTRY PLLC NPI 1154760247


NPI Information

NPI: 1154760247
Provider Name: EAST GRAND FAMILY DENTISTRY, PLLC

Doing Business As: EAST DALLAS FAMILY DENTISTRY

Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
5429 E GRAND AVE
DALLAS, TX
ZIP 75223
Phone: (214) 377-7312
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EAST GRAND FAMILY DENTISTRY, PLLC 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. EAST GRAND FAMILY DENTISTRY, PLLC NPI is 1154760247. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As East Dallas Family Dentistry.

The provider's business location address is:

5429 E GRAND AVE
DALLAS, TX
ZIP 75223-914
Phone: (214) 377-7312
Fax: (214) 377-7360

The provider's authorized official is Shamim Moslemi .
The authorized official title is Owner and has the following contact phone number (972) 668-3003.

The enumeration date for this NPI number is 6/21/2013 and was last updated on 11/19/2013.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223G0001XDentistGeneral Practice25797TEXASYes

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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