Panache Dental, PLLC Rascheda D Long Sole MBR

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

PANACHE DENTAL, PLLC RASCHEDA D LONG SOLE MBR

Practice address

977 Garden Park Dr
Allen, TX 75013-3742

Phone

(214) 383-9406

Fax

(214) 383-9480

NPI assigned

May 23, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Rascheda Denise Long, D.D.S.

Title

General Dentist

Phone

(214) 383-9406

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1337731200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1358121600000",
    "number": "1437419587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "977 GARDEN PARK DR",
            "city": "ALLEN",
            "state": "TX",
            "postal_code": "750133742",
            "telephone_number": "214-383-9406",
            "fax_number": "214-383-9480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "977 GARDEN PARK DR",
            "city": "ALLEN",
            "state": "TX",
            "postal_code": "750133742",
            "telephone_number": "214-383-9406",
            "fax_number": "214-383-9480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PANACHE DENTAL, PLLC RASCHEDA D LONG SOLE MBR",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-23",
        "last_updated": "2013-01-14",
        "status": "A",
        "authorized_official_last_name": "LONG",
        "authorized_official_first_name": "RASCHEDA",
        "authorized_official_middle_name": "DENISE",
        "authorized_official_title_or_position": "GENERAL DENTIST",
        "authorized_official_telephone_number": "214-383-9406",
        "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": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Dentistry in Allen, TX
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 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.

Verify at the official NPI Registry.