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EDEN DENTAL PA NPI 1487934121


NPI Information

NPI: 1487934121
Provider Name: EDEN DENTAL PA
Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
1546 STACY RD STE 130
ALLEN, TX
ZIP 75002
Phone: (972) 649-6221
Get Directions

EDEN DENTAL PA is a general practice dentist in Allen, 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. EDEN DENTAL PA NPI is 1487934121. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1546 STACY RD STE 130
ALLEN, TX
ZIP 75002-727
Phone: (972) 649-6221
Fax: (972) 649-6223

The provider's authorized official is Yoojin Cho .
The authorized official title is Office Manager and has the following contact phone number (972) 649-6221.

The enumeration date for this NPI number is 8/25/2011 and was last updated on 8/25/2011.


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
11223G0001XDentistGeneral PracticeTEXASYes

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: 5/5/2024

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