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TIMEBRIDGE DENTAL PLLC NPI 1851753347


NPI Information

NPI: 1851753347
Provider Name: TIMEBRIDGE DENTAL, PLLC

Doing Business As: REVIVE DENTAL OF LEWISVILLE

Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
2728 MCKINNON ST
APT 1517
DALLAS, TX
ZIP 75201
Phone: (415) 971-7427
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TIMEBRIDGE DENTAL, 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. TIMEBRIDGE DENTAL, PLLC NPI is 1851753347. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Revive Dental Of Lewisville.

The provider's business location address is:

2728 MCKINNON ST
APT 1517
DALLAS, TX
ZIP 75201-602
Phone: (415) 971-7427

The provider's authorized official is Yong Ho Cho .
The authorized official title is Owner and has the following contact phone number (415) 971-7427.

The enumeration date for this NPI number is 3/23/2016 and was last updated on 3/23/2016.


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 Practice27280TEXASYes

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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