NPI 1588051395 · live from the CMS NPI Registry
14th Street Dental
Dentist, General Practice in Plano, TX. National Provider Identifier 1588051395, active.
NPI record
| NPI | 1588051395 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Dentist, General Practice 1223G0001X |
| Practice location | 1900 14th St, Suite C, Plano, TX 75074 |
| Practice phone | 940-808-1970 |
| Mailing address | Po Box 674330, Dallas, TX 75267 |
| Enumerated | April 20, 2015 |
| Last updated | April 20, 2015 |
| Authorized official | Craig Copeland, Owner |
| Other names | Sol River |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist, General Practice primary | 1223G0001X | 25735 (TX) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.