BNC Dental

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

Legal business name

BNC DENTAL

Doing business as

Ace Implant & Family Dentistry of Plano

Practice address

4709 W Parker Rd Ste 550
Plano, TX 75093-3367

Phone

(972) 468-9480

NPI assigned

Dec 16, 2018

Last updated

Dec 16, 2018By 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

Sherry Lo

Title

Manager

Phone

(972) 468-9480

Specialties & licenses 2

Addresses

Other names 1

• Ace Implant & Family Dentistry of Plano Doing business as

Locations

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

{
    "created_epoch": "1544918400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1544918400000",
    "number": "1164993127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4709 W PARKER RD STE 550",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750933367",
            "telephone_number": "972-468-9480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4709 W PARKER RD STE 550",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750933367",
            "telephone_number": "972-468-9480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BNC DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-16",
        "last_updated": "2018-12-16",
        "status": "A",
        "authorized_official_last_name": "LO",
        "authorized_official_first_name": "SHERRY",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "972-468-9480"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Periodontics",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ace Implant & Family Dentistry of Plano",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Wendy L. Blumberg, RLC,IBCLC
• Scott Lawrence Blumenthal, M.D.
• Bme Dental
• BMP Dental, PA
• Bnaz LLC
• Precious Boateng, ANP
• Bobby Jivnani DDS PA
• Matthew Bober, M.D.
• Wendy Bockelman, NP
• Candice N Boehm, LPC

• Periodontics in Plano, TX
• Providers in Plano, TX by specialty
• Periodontics in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2018; 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.