Organization Active NPI

Ideal Dental of Preston Creek PLLC

  • Dentist
  • Plano, TX
National Provider Identifier
1275936734
Registry record updated Sep 24, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
IDEAL DENTAL OF PRESTON CREEK PLLC
Practice address
8404 Preston Rd
Ste 212
Plano, TX 75024-3331
Phone
(972) 377-5530
NPI assigned
Sep 29, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2015

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

Authorized official

Name
Sulman Ahmed, DMD
Title
Owner
Phone
(972) 377-5530

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

8404 Preston Rd
Ste 212
Plano, TX 75024-3331

Mailing address

8404 Preston Rd
Ste 212
Plano, TX 75024-3331
Phone (972) 377-5530

Other names 1

  • Plano Center Dental Doing business as

National Provider Directory

National Provider Directory

Locations

8404 Preston Rd
Ste 212
Plano, TX 75024
Phone (214) 872-2783

NPI Registry JSON

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

{
    "created_epoch": "1411948800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1443052800000",
    "number": "1275936734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8404 PRESTON RD",
            "address_2": "STE 212",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750243331",
            "telephone_number": "972-377-5530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8404 PRESTON RD",
            "address_2": "STE 212",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750243331",
            "telephone_number": "972-377-5530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IDEAL DENTAL OF PRESTON CREEK PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-29",
        "last_updated": "2015-09-24",
        "status": "A",
        "authorized_official_last_name": "AHMED",
        "authorized_official_first_name": "SULMAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "972-377-5530",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Plano Center Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Plano, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 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.