Lynn Creek Molina PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

27850 Issued in TX

Legal business name

LYNN CREEK MOLINA PLLC

Practice address

5115 Lake Ridge Pkwy
Grand Prairie, TX 75052-3003

Phone

(817) 533-4275

NPI assigned

Jul 29, 2015

Organization subpart

No

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

Authorized official

Name

Antonio Molina, DDS

Title

President

Phone

(305) 632-2530

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1438128000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1438128000000",
    "number": "1417332602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5115 LAKERIDGE PKWY",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "75052",
            "telephone_number": "817-533-4275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5115 LAKE RIDGE PKWY",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750523003",
            "telephone_number": "817-533-4275"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LYNN CREEK MOLINA PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-29",
        "last_updated": "2015-07-29",
        "status": "A",
        "authorized_official_last_name": "MOLINA",
        "authorized_official_first_name": "ANTONIO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-632-2530",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "27850",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kim Tuyet Ly, PHARMACIST
• Lisa I Ly, DC
• Pierre Hiep Ly, BSN, RN
• George Minges Lyman, MOT,OTR
• Lynn Creek Family Dentistry
• Lyrad Health, PLLC
• M & M Personal Care Services LLC
• Teresia Mwango Maangi, LVN
• Matthew Macias, PHARMD
• Macroplus Healthcare LLC

• General Practice Dentistry in Grand Prairie, TX
• Providers in Grand Prairie, 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 Jul 29, 2015; 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.