North Dallas Dental Health PLLC

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

24589 Issued in TX

Legal business name

NORTH DALLAS DENTAL HEALTH PLLC

Practice address

5465 Blair Road, Suite 200
Dallas, TX 75231

Phone

(214) 691-2404

Fax

(214) 691-2228

NPI assigned

Jan 22, 2015

Organization subpart

No

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

Authorized official

Name

Jeffrey D Pope, D.D.S.

Title

Owner

Phone

(214) 691-2404

Specialties & licenses 2

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Thomas G. Wilson Jr., D.D.S.

  • Periodontics
  • Dallas, TX
  • NPI 1124011002
  NPD (past)

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

{
    "created_epoch": "1421884800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1421884800000",
    "number": "1295124667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5465 BLAIR RD STE 200",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752314163",
            "telephone_number": "214-691-2404",
            "fax_number": "214-691-2228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5465 BLAIR ROAD, SUITE 200",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "75231",
            "telephone_number": "214-691-2404",
            "fax_number": "214-691-2228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH DALLAS DENTAL HEALTH PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-22",
        "last_updated": "2015-01-22",
        "status": "A",
        "authorized_official_last_name": "POPE",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "214-691-2404",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Periodontics",
            "state": "TX",
            "license": "24589",
            "primary": true
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Periodontics",
            "state": "TX",
            "license": "9710",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• North Dallas Behavioral Health
• North Dallas Chiropractic
• North Dallas Comprehensive Pain Center, LLC
• North Dallas Counseling, PLLC
• North Dallas Dental Associates
• North Dallas Dental Implants PLLC
• North Dallas Dentistry Associates, PC
• North Dallas Dermatology Associates, P.a.
• North Dallas ENT Group
• North Dallas First Assist Services, PLLC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 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.