All Dentistry III PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

20159 Issued in TX

Legal business name

ALL DENTISTRY III PLLC

Doing business as

Palm Beach Dental Clinic

Practice address

3829 Marigold Ave
Fort Worth, TX 76111-4944

Phone

(817) 759-1516

NPI assigned

Nov 3, 2014

Last updated

Nov 3, 2014By 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

CHI T Le, DDS

Title

Owner

Phone

(817) 759-1516

Specialties & licenses 1

Addresses

Other names 1

• PALM BEACH DENTAL CLINIC Doing business as

Locations

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

{
    "created_epoch": "1414972800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1414972800000",
    "number": "1316342389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3829 MARIGOLD AVE",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761114944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3829 MARIGOLD AVE",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761114944",
            "telephone_number": "817-759-1516"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALL DENTISTRY III PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-03",
        "last_updated": "2014-11-03",
        "status": "A",
        "authorized_official_last_name": "LE",
        "authorized_official_first_name": "CHI",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "817-759-1516",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "20159",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PALM BEACH DENTAL CLINIC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• General Practice Dentistry in Fort Worth, TX
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• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2014; 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.