NPI 1376005322 · live from the CMS NPI Registry
1215 Thomasville Garland Professional PLLC
Dentist, General Practice in Garland, TX. National Provider Identifier 1376005322, active.
NPI record
| NPI | 1376005322 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Dentist, General Practice 1223G0001X |
| Practice location | 1215 Thomasville, Garland, TX 75044 |
| Practice phone | 972-494-0004 |
| Enumerated | April 1, 2019 |
| Last updated | April 1, 2019 |
| Authorized official | Shawna Garcia, Director Of Operations |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist, General Practice primary | 1223G0001X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.