Total Dental Care PLLC

Primary specialty

DentistTaxonomy code 122300000X

License

0025071 Issued in TX

Legal business name

TOTAL DENTAL CARE PLLC

Practice address

1017 E Trinity Mills Rd Ste 102
Carrollton, TX 75006-1458

Phone

(972) 446-7733

NPI assigned

Aug 2, 2010

Last updated

Aug 2, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Kwonil Park, D.D.S.NPI 1740306414

Title

Doctor

Phone

(972) 446-7733

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, and the practitioner matching its NPPES authorized official.

• Kwonil Park, DDS

  • General Practice Dentistry
  • Carrollton, TX
  • NPI 1740306414
  NPD (past) Authorized official

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

{
    "created_epoch": "1280707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1280707200000",
    "number": "1437463494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1017 E TRINITY MILLS RD STE 102",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750061458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1017 E TRINITY MILLS RD STE 102",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750061458",
            "telephone_number": "972-446-7733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOTAL DENTAL CARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-02",
        "last_updated": "2010-08-02",
        "status": "A",
        "authorized_official_last_name": "PARK",
        "authorized_official_first_name": "KWONIL",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "972-446-7733",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "0025071",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dentist in Carrollton, TX
• Providers in Carrollton, TX by specialty
• Dentist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2010; 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.