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CEDAR RIDGE DENTAL CARE NPI 1801029764


NPI Information

NPI: 1801029764
Provider Name: CEDAR RIDGE DENTAL CARE
Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

CLIA Number: 45D1086768

Address:
210 S CEDAR RIDGE DR STE A
DUNCANVILLE, TX
ZIP 75116
Phone: (972) 296-3600
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CEDAR RIDGE DENTAL CARE is a general practice dentist in Duncanville, 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. CEDAR RIDGE DENTAL CARE NPI is 1801029764. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

210 S CEDAR RIDGE DR STE A
DUNCANVILLE, TX
ZIP 75116-578
Phone: (972) 296-3600
Fax: (972) 296-8527

The provider's authorized official is David Johnston .
The authorized official title is Owner and has the following contact phone number (972) 296-3600.

The CLIA number assigned to this NPI record is 45D1086768 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/26/2009 and was last updated on 8/26/2009.


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 Practice12202TEXASYes

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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