1235340365 NPI number — FLOWER MOUND DENTISTRY DIVINE

Table of content: (NPI 1235340365)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1235340365 NPI number — FLOWER MOUND DENTISTRY DIVINE

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
FLOWER MOUND DENTISTRY DIVINE
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
6
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1235340365
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/22/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
2200 MORRISS RD STE 150
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
FLOWER MOUND
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
75028-3239
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
972-539-4290
Provider Business Mailing Address Fax Number:
972-355-1736

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2200 MORRISS RD STE 150
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
FLOWER MOUND
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
75028-3239
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
972-539-4290
Provider Business Practice Location Address Fax Number:
972-355-1736
Provider Enumeration Date:
05/24/2007

Additional Information

Authorized Official

Authorized Official Last Name:
MCCLELLAN
Authorized Official First Name:
KIAMESHA
Authorized Official Middle Name:
MICHALLE
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
972-539-4290

Provider Taxonomy Codes

  • Taxonomy code: 261QD0000X , with the licence number:  15884 , registered in the state of TX ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 1144438060 . This is a "INDIVIDUAL PIN NUMBER" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".




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