NPI 1194236646 · live from the CMS NPI Registry
5 Star Dental
Dentist, General Practice in The Colony, TX. National Provider Identifier 1194236646, active.
NPI record
| NPI | 1194236646 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Dentist, General Practice 1223G0001X |
| Practice location | 3751 Main Street, Suite 1000, The Colony, TX 75056 |
| Practice phone | 972-636-4010 |
| Mailing address | 3751 Main St Ste 1000, The Colony, TX 75056 |
| Enumerated | October 23, 2017 |
| Last updated | October 23, 2017 |
| Authorized official | Soo Yun Lee, Dentist |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist, General Practice primary | 1223G0001X | 29398 (TX) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.