P Lynette Page DDS Dental Management LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

24175 Issued in TX

Legal business name

P LYNETTE PAGE DDS DENTAL MANAGEMENT LLC

Practice address

6500 Greenville Ave
Suite 100
Dallas, TX 75206-1014

Phone

(214) 692-7499

Fax

(214) 361-4145

NPI assigned

Jun 1, 2015

Organization subpart

No

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

Authorized official

Name

Anthony Vecchione

Title

General Counsel

Phone

(214) 692-7499

Specialties & licenses 1

Addresses

Tax ID family

P Lynette Page DDS Dental Management LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• P Lynette Page DDS Dental Management LLC

  • Dental Clinic/Center
  • Dallas, TX
  • NPI 1316538150
  NPD tax ID

Locations

Practitioners 1

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

• Robert W Herren, DDS

  • General Practice Dentistry
  • Dallas, TX
  • NPI 1003935115
  NPD (past)

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

{
    "created_epoch": "1433116800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1612224000000",
    "number": "1346620853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6500 GREENVILLE AVE",
            "address_2": "SUITE 100",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752061014",
            "telephone_number": "214-692-7499",
            "fax_number": "214-361-4145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6500 GREENVILLE AVE",
            "address_2": "SUITE 100",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752061014",
            "telephone_number": "214-692-7499",
            "fax_number": "214-361-4145"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13601 Preston Rd Ste 350E",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752404905",
            "country_code": "US",
            "telephone_number": "972-239-1962",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "P LYNETTE PAGE DDS DENTAL MANAGEMENT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-01",
        "last_updated": "2021-02-02",
        "certification_date": "2021-02-02",
        "status": "A",
        "authorized_official_last_name": "VECCHIONE",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_title_or_position": "GENERAL COUNSEL",
        "authorized_official_telephone_number": "214-692-7499"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "TX",
            "license": "24175",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marissa Ozuna
• Raul Ozuna Jr., LMSW
• P & C Legacy Counseling and Consultation, LLC
• P Creighton Hobar MD PA
• P Lynette Page DDS Dental Management LLC
• P Terrence Moore MD PA
• P. Creighton Hobar, MD, PA
• P. Lynette Page, DDS, PLLC (Page Dental Group)
• P&G Services Inc (P&G Services LLC)
• P&G Services Inc (P&G Services LLC)

• Dental Clinic/Center in Dallas, TX
• Providers in Dallas, TX by specialty
• Dental Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2021; 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.