Dr. Ly Dentistry, P.a.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D20583 Issued in TX

Legal business name

DR. LY DENTISTRY, P.A.

Practice address

2741 E Belt Line Rd
Suite 101
Carrollton, TX 75006-5445

Phone

(972) 820-7294

Fax

(972) 820-8217

NPI assigned

May 3, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Thuong Dominic Hoang, D.D.S.

Title

President

Phone

(972) 820-7294

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Denise P. Pham, D.D.S.

  • General Practice Dentistry
  • Carrollton, TX
  • NPI 1447213913
  NPD (past)

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

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1386866697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2741 E BELT LINE RD",
            "address_2": "SUITE 101",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750065445",
            "telephone_number": "972-820-7294",
            "fax_number": "972-820-8217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2741 E BELT LINE RD",
            "address_2": "SUITE 101",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750065445",
            "telephone_number": "972-820-7294",
            "fax_number": "972-820-8217"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. LY DENTISTRY, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HOANG",
        "authorized_official_first_name": "THUONG",
        "authorized_official_middle_name": "DOMINIC",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "972-820-7294",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "D20583",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Dentistry in Carrollton, TX
• Providers in Carrollton, 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 Aug 22, 2020; 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.