Active NPI
Fresh Dental and Orthodontics
- Dentist
- Plano, TX
National Provider Identifier
1326472887
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 16697
- Legal business name
- FRESH DENTAL AND ORTHODONTICS
- Practice address
- 1921 Preston Rd # 2010
Plano, TX 75093-5102 - Phone
- (972) 250-0048
- Fax
- (972) 250-0050
- NPI assigned
- Sep 2, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Kieu-Trinh Thi Dao, DDS
- Title
- DDS
- Phone
- (232) 232-5062
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 16697 | TX | Primary |
Addresses
Primary practice location
1921 Preston Rd # 2010
Plano, TX 75093-5102
Mailing address
1921 Preston Rd # 2010
Plano, TX 75093-5102
Phone (972) 250-0048
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1378080000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1378080000000",
"number": "1326472887",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1921 PRESTON RD # 2010",
"city": "PLANO",
"state": "TX",
"postal_code": "750935102",
"telephone_number": "972-250-0048",
"fax_number": "972-250-0050"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1921 PRESTON RD # 2010",
"city": "PLANO",
"state": "TX",
"postal_code": "750935102",
"telephone_number": "972-250-0048",
"fax_number": "972-250-0050"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FRESH DENTAL AND ORTHODONTICS",
"organizational_subpart": "NO",
"enumeration_date": "2013-09-02",
"last_updated": "2013-09-02",
"status": "A",
"authorized_official_last_name": "DAO",
"authorized_official_first_name": "KIEU-TRINH",
"authorized_official_middle_name": "THI",
"authorized_official_title_or_position": "DDS",
"authorized_official_telephone_number": "232-232-5062",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist",
"state": "TX",
"license": "16697",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 2, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.