FRESH DENTAL-BOSSIER CITY - NPI 1508122052

Q: What is Fresh Dental-Bossier City's NPI number?

The NPI number for Fresh Dental-Bossier City is 1508122052. It was assigned to this organization in the NPPES registry on April 10, 2012.

Q: What is Fresh Dental-Bossier City's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

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About Fresh Dental-bossier City NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FRESH DENTAL-BOSSIER CITY (NPI 1508122052) is a healthcare organization registered as a dentist in Irving, Texas and active in the NPI registry since April 2012. The organization lists Mary Pu, Vp Of Finance, as its authorized official.

NPPES Registry Identity

NPI1508122052

Entity TypeOrganization

Primary Taxonomy122300000X

Legal Business NameFRESH DENTAL-BOSSIER CITY

Location Address7301 STATE HIGHWAY 161 STE 198Irving, TX 75039-2880

Mailing Address7301 State Highway 161 Ste 198Irving, TX 75039-2880 · (972) 869-3789 · Fax (972) 869-3791

Phone(972) 869-3789

Fax(972) 869-3791

Organization SubpartNo

Authorized OfficialMary PuVp Of Finance · (972) 869-3789

Enumeration DateApril 10, 2012

✔ NPI 1508122052 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

7301 STATE HIGHWAY 161 STE 198, Irving, TX 75039

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LUCKY DENTAL PLLC

Dentist