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PARK CITIES FAMILY DENTISTRY PA NPI 1457790933


NPI Information

NPI: 1457790933
Provider Name: PARK CITIES FAMILY DENTISTRY, PA
Classification: Preferred Provider Organization - 305R00000X
Entity Type: Organization

CLIA Number: 45D1010908

Address:
3100 MONTICELLO AVE
SUITE 110
DALLAS, TX
ZIP 75205
Phone: (214) 528-3770
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PARK CITIES FAMILY DENTISTRY, PA is a preferred provider organization in Dallas, TX. The provider is a group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level. PARK CITIES FAMILY DENTISTRY, PA NPI is 1457790933. The provider is registered as an organization entity type.

The provider's business location address is:

3100 MONTICELLO AVE
SUITE 110
DALLAS, TX
ZIP 75205-442
Phone: (214) 528-3770
Fax: (214) 526-7436

The provider's authorized official is Jeffrey W Hubbard .
The authorized official title is President and has the following contact phone number (214) 528-3770.

The CLIA number assigned to this NPI record is 45D1010908 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/18/2013 and was last updated on 6/18/2013.


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
1305R00000XPreferred Provider Organization15507TEXASYes

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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