Titan Dental 3 PLLC

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

TITAN DENTAL 3 PLLC

Practice address

6204 S Cooper St
Ste. 104
Arlington, TX 76001

Phone

(214) 766-4205

NPI assigned

Sep 25, 2013

Organization subpart

No

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

Authorized official

Name

Melissa Hernandez

Title

Regional Manager

Phone

(469) 803-0014

Specialties & licenses 1

Addresses

Other names 2

• Cooper Street Dental Doing business as
• Titan Dental Doing business as

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

{
    "created_epoch": "1380067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722470400000",
    "number": "1235565979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6204 S COOPER ST",
            "address_2": "STE. 104",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760015700",
            "telephone_number": "972-841-2305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6204 S COOPER ST",
            "address_2": "STE. 104",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "76001",
            "telephone_number": "214-766-4205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TITAN DENTAL 3 PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-25",
        "last_updated": "2024-08-01",
        "certification_date": "2024-08-01",
        "status": "A",
        "authorized_official_last_name": "HERNANDEZ",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_title_or_position": "REGIONAL MANAGER",
        "authorized_official_telephone_number": "469-803-0014"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cooper Street Dental",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Titan Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Tavedia Dunlap Tipler, M.S., CCC-SLP
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• Scott Christopher Tisdell, MD
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• Dentist in Arlington, TX
• Providers in Arlington, TX by specialty
• Dentist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2024; 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.