Royal Lane Dental Center PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

ROYAL LANE DENTAL CENTER PLLC

Practice address

8499 Greenville Ave Ste 210
Dallas, TX 75231-2412

Phone

(614) 530-1189

NPI assigned

Jun 7, 2017

Organization subpart

No

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

Authorized official

Name

Sang Park, DDSNPI 1275717928

Title

Managing Member

Phone

(469) 904-2080

Specialties & licenses 1

Addresses

Other names 1

• Royal Lane Dental Center Doing business as

Locations

Practitioners 1

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

• Sang Park

  • General Practice Dentistry
  • Dallas, TX
  • NPI 1275717928
  NPD (past) Authorized official

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

{
    "created_epoch": "1496793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1513036800000",
    "number": "1326577990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8499 GREENVILLE AVE",
            "address_2": "210",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752312413",
            "telephone_number": "469-904-2080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8499 GREENVILLE AVE STE 210",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752312412",
            "telephone_number": "614-530-1189"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROYAL LANE DENTAL CENTER PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-07",
        "last_updated": "2017-12-12",
        "status": "A",
        "authorized_official_last_name": "PARK",
        "authorized_official_first_name": "SANG",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "469-904-2080",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Royal Lane Dental Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Renet Roy, MD
• Royal Care Home Health Agency
• Royal Crown Dental PA
• Royal D Transport LLC
• Royal Healthcare Services LLC
• Royal Manor Care Center, Inc.
• Royal RSVG PLLC
• Royal Wellness Center
• Royal Wellness Center PLLC
• Julie Ann Royal, D.C, B.S.

• General Practice Dentistry in Dallas, TX
• Providers in Dallas, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2017; 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.