J&J Dental Group

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

26178 Issued in TX

Legal business name

J&J DENTAL GROUP

Practice address

2138 N Josey LN
Suite 104
Carrollton, TX 75006-3034

Phone

(972) 242-4505

Fax

(972) 242-6420

NPI assigned

Oct 21, 2014

Organization subpart

No

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

Authorized official

Name

Joon Lee

Title

Partner

Phone

(972) 242-4505

Specialties & licenses 1

Addresses

Other names 1

• Beverly Dental Center Doing business as

Locations

Practitioners 1

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

• Jun Oh, DDS

  • General Practice Dentistry
  • Carrollton, TX
  • NPI 1184905689
  NPD (past)

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

{
    "created_epoch": "1413849600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1413849600000",
    "number": "1033513874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 TENNYSON PL",
            "city": "COPPELL",
            "state": "TX",
            "postal_code": "750195365",
            "telephone_number": "214-316-8919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2138 N JOSEY LN",
            "address_2": "SUITE 104",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750063034",
            "telephone_number": "972-242-4505",
            "fax_number": "972-242-6420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J&J DENTAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-21",
        "last_updated": "2014-10-21",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "JOON",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "972-242-4505"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "26178",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Beverly Dental Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Gregory Roy Istre, M.D.
• Bhanumathi Ivatury, PHD LCSW
• Ivedco, LLC
• Vinaya Iyer
• J Subramanian MD PLLC
• J&Jkim Vision Associates, LLC
• Cynthia Aryn Jackson, DDS
• Miranda S Jackson, LPC
• Robert E Jackson, D.D.S.
• Arun Jacob, MD

• General Practice Dentistry in Carrollton, TX
• Providers in Carrollton, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2014; 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.