Ivodent Group, PLLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

27231 Issued in TX

Legal business name

IVODENT GROUP, PLLC

Practice address

3851 SW Green Oaks Blvd
Ste 101
Arlington, TX 76017-4130

Phone

(817) 703-3791

NPI assigned

Jan 21, 2013

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Jackilyn Dang, DMDNPI 1386923811

Title

Director

Phone

(817) 703-3791

Specialties & licenses 1

Addresses

Other names 1

• Great Oak Dental Doing business as

Tax ID family

Great Oak Dental2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Ivodent Group PLLC

  • General Practice Dentistry
  • Arlington, TX
  • NPI 1093119331
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jackilyn Dang, DMD

  • Dentist
  • Arlington, TX
  • NPI 1386923811
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1358726400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1358726400000",
    "number": "1023356359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3851 SW GREEN OAKS BLVD",
            "address_2": "STE 101",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760174130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3851 SW GREEN OAKS BLVD",
            "address_2": "STE 101",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760174130",
            "telephone_number": "817-703-3791"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IVODENT GROUP, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-21",
        "last_updated": "2013-01-21",
        "status": "A",
        "authorized_official_last_name": "DANG",
        "authorized_official_first_name": "JACKILYN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "817-703-3791",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "TX",
            "license": "27231",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Great Oak Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Israel a Hartman M D P a
• Amana Israel, COTA/L
• Patience Itoya
• Iunity Home Care LLC
• Ivodent Group PLLC
• Richard Glenn Ivy Jr., D.C.
• Ivyrose Family Dentistry
• Amir H Izaddoust, D.D.S.
• Precious K Izah
• J & C Homecare Agency

• Dental Clinic/Center in Arlington, TX
• Providers in Arlington, TX by specialty
• Dental Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.