Ace Dental05, PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

ACE DENTAL05, PLLC

Doing business as

ACE Dental

Practice address

3108 S 31St St
3108
Temple, TX 76502-1803

Phone

(201) 925-0210

NPI assigned

May 9, 2017

Last updated

May 9, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Ac Chakravarty

Title

Business Manager

Phone

(201) 925-0210

Specialties & licenses 1

Addresses

Other names 1

• ACE Dental Doing business as

Locations

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

{
    "created_epoch": "1494288000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1494288000000",
    "number": "1043746274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3108 S 31ST ST",
            "address_2": "3108",
            "city": "TEMPLE",
            "state": "TX",
            "postal_code": "765021803",
            "telephone_number": "201-925-0210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3108 S 31ST ST",
            "address_2": "3108",
            "city": "TEMPLE",
            "state": "TX",
            "postal_code": "765021803",
            "telephone_number": "201-925-0210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACE DENTAL05, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-09",
        "last_updated": "2017-05-09",
        "status": "A",
        "authorized_official_last_name": "CHAKRAVARTY",
        "authorized_official_first_name": "AC",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "201-925-0210",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ACE Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ossama Abou Hassan
• Britney Abram
• Shauntay Abrams, LVN
• Jose Marri Abril, MD
• Access Living Services, Inc.
• Kellie Nicole Achord, PA-C
• Jose M Acosta, C.R.N.A.
• Acre Wood Dental - Temple PA
• Tayler Acton, DO
• Darakhshan Adam, MD

• General Practice Dentistry in Temple, TX
• Providers in Temple, 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 May 9, 2017; 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.