GRAND DENTAL PA NPI 1184933400

NPI Information

NPI: 1184933400
Provider Name: GRAND DENTAL PA
Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

Address:
5437 E GRAND AVE
DALLAS, TX
ZIP 75223
Phone: (214) 821-4726
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GRAND DENTAL PA is a dental clinic center in Dallas, TX. GRAND DENTAL PA NPI is 1184933400. The provider is registered as an organization entity type.

The provider's business location address is:

5437 E GRAND AVE
DALLAS, TX
ZIP 75223-914
Phone: (214) 821-4726

The provider's authorized official is Raed Ajlouni .
The authorized official title is President and has the following contact phone number (214) 995-0806.

The enumeration date for this NPI number is 10/5/2010 and was last updated on 10/5/2010.

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
1	261QD0000X	Clinic/Center	Dental			Yes

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

NPI Synchronization or Removal

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