Access Dental of Haltom City

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

ACCESS DENTAL OF HALTOM CITY

Practice address

3101 Denton Hwy
Suite 100
Haltom City, TX 76117-3706

Phone

(817) 831-6500

NPI assigned

Aug 5, 2007

Last updated

Aug 5, 2007By 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

Dr. Tien Dinh Phan, DMD

Title

Owner

Phone

(408) 835-3726

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1186272000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1186272000000",
    "number": "1063603157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3101 DENTON HWY",
            "address_2": "SUITE 100",
            "city": "HALTOM CITY",
            "state": "TX",
            "postal_code": "761173706",
            "telephone_number": "817-831-6500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3101 DENTON HWY",
            "address_2": "SUITE 100",
            "city": "HALTOM CITY",
            "state": "TX",
            "postal_code": "761173706",
            "telephone_number": "817-831-6500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACCESS DENTAL OF HALTOM CITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-05",
        "last_updated": "2007-08-05",
        "status": "A",
        "authorized_official_last_name": "PHAN",
        "authorized_official_first_name": "TIEN",
        "authorized_official_middle_name": "DINH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "408-835-3726",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dentist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2007; 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.