Park Cities Family Dentistry, PA

Primary specialty

Preferred Provider OrganizationTaxonomy code 305R00000X

License

15507 Issued in TX

Legal business name

PARK CITIES FAMILY DENTISTRY, PA

Practice address

3100 Monticello Ave
Suite 110
Dallas, TX 75205-3442

Phone

(214) 528-3770

Fax

(214) 526-7436

NPI assigned

Jun 18, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Jeffrey W Hubbard, DDSNPI 1336244664

Title

President

Phone

(214) 528-3770

Specialties & licenses 1

Addresses

Practitioners 1

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

• Jeffrey Wayne Hubbard, D.D.S.

  • General Practice Dentistry
  • Dallas, TX
  • NPI 1336244664
  NPD (past) Authorized official

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

{
    "created_epoch": "1371513600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1371513600000",
    "number": "1457790933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3100 MONTICELLO AVE",
            "address_2": "SUITE 110",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752053442",
            "telephone_number": "214-528-3770",
            "fax_number": "214-526-7436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 MONTICELLO AVE",
            "address_2": "SUITE 110",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752053442",
            "telephone_number": "214-528-3770",
            "fax_number": "214-526-7436"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARK CITIES FAMILY DENTISTRY, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-18",
        "last_updated": "2013-06-18",
        "status": "A",
        "authorized_official_last_name": "HUBBARD",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "214-528-3770",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "TX",
            "license": "15507",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Park Cities Cosmetic Surgery
• Park Cities Dental Group LLP
• Park Cities Dermatology, PA
• Park Cities Emergency Anesthesia
• Park Cities Family Dentistry GPS PLLC
• Park Cities Family Dentistry, PLLC
• Park Cities Health Services LLC
• Park Cities Midwifery PLLC
• Park Cities Oral & Maxillofacial Surgery Assoc. PA
• Park Cities Oral Surgery PLLC

• Preferred Provider Organization in Dallas, TX
• Providers in Dallas, TX by specialty
• Preferred Provider Organization in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 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.