Crest Family Dental Arlington, PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

22755 Issued in TX

Legal business name

CREST FAMILY DENTAL ARLINGTON, PLLC

Practice address

3200 S Cooper St
Suite 101
Arlington, TX 76015-2366

Phone

(817) 375-9600

NPI assigned

Sep 11, 2015

Last updated

Sep 11, 2015By 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

Lan CHI Le, DDS

Title

Managing Member

Phone

(214) 350-8800

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1441929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1441929600000",
    "number": "1215305958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2823 KENDALE DR",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752204736",
            "telephone_number": "214-350-8800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3200 S COOPER ST",
            "address_2": "SUITE 101",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760152366",
            "telephone_number": "817-375-9600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CREST FAMILY DENTAL ARLINGTON, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-11",
        "last_updated": "2015-09-11",
        "status": "A",
        "authorized_official_last_name": "LE",
        "authorized_official_first_name": "LAN CHI",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "214-350-8800",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "22755",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Creative Minds Behavioral Health, LLC
• Kristina Lynn Creech, APRN
• Creekside Dental Center
• Jaylon Travonne Crenshaw
• Crescent DME Services, Inc
• Crest Interventional Procedure Center LLC
• Dominique Cribb, BIRTH DOULA
• David Crim, M.D.
• Suzanne Gunderson Crisafulli, M.A.
• Kayla Crocker, P.T.

• General Practice Dentistry in Arlington, TX
• Providers in Arlington, 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 Sep 11, 2015; 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.