Plano Dental Loft PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

22406 Issued in TX

Legal business name

PLANO DENTAL LOFT PLLC

Doing business as

Plano Dental Loft

Practice address

3920 McDermott Rd
Ste B
Plano, TX 75025-4420

Phone

(469) 269-6190

Fax

(469) 277-3149

NPI assigned

Dec 12, 2012

Last updated

Aug 9, 2013By 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

Mathew George, DDSNPI 1063537082

Title

Owner

Phone

(469) 269-6190

Specialties & licenses 1

Addresses

Other names 1

• Plano Dental Loft Doing business as

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.

• Mathew George, DDS

  • General Practice Dentistry
  • Plano, TX
  • NPI 1063537082
  Authorized official Same address or phone

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

{
    "created_epoch": "1355270400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1376006400000",
    "number": "1467798835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3920 MCDERMOTT RD",
            "address_2": "STE B",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750254420",
            "telephone_number": "469-269-6190",
            "fax_number": "469-277-3149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3920 MCDERMOTT RD",
            "address_2": "STE B",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750254420",
            "telephone_number": "469-269-6190",
            "fax_number": "469-277-3149"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLANO DENTAL LOFT PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-12",
        "last_updated": "2013-08-09",
        "status": "A",
        "authorized_official_last_name": "GEORGE",
        "authorized_official_first_name": "MATHEW",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "469-269-6190",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "22406",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Plano Dental Loft",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Plano Children's Medical Clinic
• Plano Clinic Inc
• Plano Continuing Care Center LTD. Co. (Carrara)
• Plano Counseling Center
• Plano Dental Imaging, PLLC
• Plano Emergency Physicians PLLC
• Plano Emergentcare, Inc
• Plano Endodontics, PC
• Plano Endoscopy Partners LTD (Texas Endoscopy)
• Plano ER Care Center (First Choice Emergency Room)

• General Practice Dentistry in Plano, TX
• Providers in Plano, 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 9, 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.