Tu Dentista PC

Primary specialty

DentistTaxonomy code 122300000X

License

22494 Issued in TX

Legal business name

TU DENTISTA PC

Doing business as

Tu Dentis

Practice address

4101 Ross Ave
300
Dallas, TX 75204-5138

Phone

(214) 431-3727

Fax

(214) 635-3803

NPI assigned

Oct 13, 2011

Organization subpart

No

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

Authorized official

Name

Dr. James M Jernigan, D.D.S

Title

Owner / Provider

Phone

(214) 431-3727

Specialties & licenses 1

Addresses

Other names 1

• Tu Dentis Doing business as

Locations

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

{
    "created_epoch": "1318464000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1318464000000",
    "number": "1033494711",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4807 MAPLE AVE",
            "address_2": "300",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752191006",
            "telephone_number": "214-431-3727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4101 ROSS AVE",
            "address_2": "300",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752045138",
            "telephone_number": "214-431-3727",
            "fax_number": "214-635-3803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TU DENTISTA PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-13",
        "last_updated": "2011-10-13",
        "status": "A",
        "authorized_official_last_name": "JERNIGAN",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER / PROVIDER",
        "authorized_official_telephone_number": "214-431-3727",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "TX",
            "license": "22494",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tu Dentis",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Nam-Huong Tu, MD
• Sang Tu
• Laronda Tubb, LVN

• Dentist in Dallas, TX
• Providers in Dallas, TX by specialty
• Dentist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2011; 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.