Organization Active NPI

Udc First Street, PLLC

  • General Practice Dentistry
  • Garland, TX
National Provider Identifier
1063818243
Registry record updated Nov 14, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
UDC FIRST STREET, PLLC
Practice address
107 N 1St St
Suite B
Garland, TX 75040-6539
Phone
(972) 487-1500
Fax
(972) 487-1575
NPI assigned
Nov 14, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2014

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

Authorized official

Name
Dr. Coray L Preece, DDS
Title
Doctor
Phone
(972) 487-1500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

107 N 1St St
Suite B
Garland, TX 75040-6539

Mailing address

107 N 1St St
Suite B
Garland, TX 75040-6539
Phone (972) 487-1500

Other names 1

  • Universal Dental Clinic Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1415923200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1415923200000",
    "number": "1063818243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 N 1ST ST",
            "address_2": "SUITE B",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750406539",
            "telephone_number": "972-487-1500",
            "fax_number": "972-487-1575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 N 1ST ST",
            "address_2": "SUITE B",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750406539",
            "telephone_number": "972-487-1500",
            "fax_number": "972-487-1575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UDC FIRST STREET, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-14",
        "last_updated": "2014-11-14",
        "status": "A",
        "authorized_official_last_name": "PREECE",
        "authorized_official_first_name": "CORAY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "972-487-1500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Universal Dental Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Garland, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 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.