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PECAN PLAZA DENTAL P.A. NPI 1932257136


NPI Information

NPI: 1932257136
Provider Name: PECAN PLAZA DENTAL, P.A.

Doing Business As: BEAR CREEK FAMILY DENTISTRY

Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
3400 LOMBARDY LANE
SUITE 100
DALLAS, TX
ZIP 75220
Phone: (214) 350-5333
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PECAN PLAZA DENTAL, P.A. 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. PECAN PLAZA DENTAL, P.A. NPI is 1932257136. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Bear Creek Family Dentistry.

The provider's business location address is:

3400 LOMBARDY LANE
SUITE 100
DALLAS, TX
ZIP 75220-315
Phone: (214) 350-5333
Fax: (214) 350-8555

The provider's authorized official is Robert E. Tafel .
The authorized official title is President and has the following contact phone number (214) 420-7000.

The enumeration date for this NPI number is 1/7/2007 and was last updated on 3/4/2016.


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 PracticeYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1160452201MEDICAIDTEXAS

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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