NPI 1801195706 · live from the CMS NPI Registry
101 Dental & Orthodontics
Dentist in Lewisville, TX. National Provider Identifier 1801195706, active.
NPI record
| NPI | 1801195706 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Dentist 122300000X |
| Practice location | 101 E Corporate Dr, Ste 120, Lewisville, TX 75067 |
| Practice phone | 972-459-5608 |
| Enumerated | March 18, 2011 |
| Last updated | May 1, 2013 |
| Authorized official | Lin Chang, President |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist primary | 122300000X | 23239 (TX) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.