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DR JACQUELYN GREEN DDS LOVERS LANE PLLC NPI 1528398484


NPI Information

NPI: 1528398484
Provider Name: DR JACQUELYN GREEN DDS LOVERS LANE PLLC

Doing Business As: FLOSS DENTAL

Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
5730 W LOVERS LN
DALLAS, TX
ZIP 75209
Phone: (214) 352-0101
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DR JACQUELYN GREEN DDS LOVERS LANE 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. DR JACQUELYN GREEN DDS LOVERS LANE PLLC NPI is 1528398484. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As Floss Dental.

The provider's business location address is:

5730 W LOVERS LN
DALLAS, TX
ZIP 75209-116
Phone: (214) 352-0101

The provider's authorized official is Jacquelyn Green .
The authorized official title is Owner/president/ceo and has the following contact phone number (214) 352-0101.

The enumeration date for this NPI number is 12/28/2009 and was last updated on 7/3/2012.


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: 4/28/2024

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