NPI 1912610072 · live from the CMS NPI Registry
Advantage Dental Oral Health Center Of Texas PC
Dentist, General Practice in Dallas, TX. National Provider Identifier 1912610072, active.
NPI record
| NPI | 1912610072 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Dentist, General Practice 1223G0001X |
| Practice location | 8062 Ferguson Rd, Dallas, TX 75228 |
| Practice phone | 214-227-7215 |
| Mailing address | 3322 W End Ave Ste 400, Nashville, TN 37203 |
| Enumerated | January 3, 2023 |
| Last updated | May 17, 2023 |
| Authorized official | Sherrie Edmondson, Sr Manager, Licensing Credentialing |
| Other names | Advantage Dental Plus |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist | 122300000X | — |
| Dentist, Pediatric Dentistry | 1223P0221X | — |
| Dentist, Oral and Maxillofacial Surgery | 1223S0112X | — |
| Dentist, Orthodontics and Dentofacial Orthopedics | 1223X0400X | — |
| Clinic/Center, Dental | 261QD0000X | — |
| Dentist, General Practice primary | 1223G0001X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.