Dental Avenue, P.A.

LBN: Dental Avenue, P.A.
Dental Avenue, P.A. is an health care organization with primary practice located at 300 S Cottonwood Dr Suite #F, Richardson TX 75080-5751. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Dental Avenue, P.A. can be contacted via phone (214) 703-0044, or through Soo, Emily via phone (214) 703-0044.

Contact Information

Primary practice address
300 S Cottonwood Dr Suite #F Richardson TX 75080-5751
Phone: (214) 703-0044
Fax: (214) 703-0691
Website:
Map and Directions
Authorized official contact:
Name: Soo, Emily Doctor of Dental Surgery (DDS)
Phone: (214) 703-0044

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 21145 Texas

Profile Details

NPI number 1750488748
LBN Legal business name Dental Avenue, P.A.
DBA Doing business as
Authorized official Soo, Emily Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 20th, 2006
Last updated Jan 11th, 2017 - about 7 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1750488748 NPPES
Texas MEDICAID 1702086

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