Eden Dental PA

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

EDEN DENTAL PA

Practice address

1546 Stacy Rd Ste 130
Allen, TX 75002-8727

Phone

(972) 649-6221

Fax

(972) 649-6223

NPI assigned

Aug 25, 2011

Organization subpart

No

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

Authorized official

Name

Mrs. Yoojin Cho

Title

Office Manager

Phone

(972) 649-6221

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1314230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1314230400000",
    "number": "1487934121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1546 STACY RD STE 130",
            "city": "ALLEN",
            "state": "TX",
            "postal_code": "750028727",
            "telephone_number": "972-649-6221",
            "fax_number": "972-649-6223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1546 STACY RD STE 130",
            "city": "ALLEN",
            "state": "TX",
            "postal_code": "750028727",
            "telephone_number": "972-649-6221",
            "fax_number": "972-649-6223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDEN DENTAL PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-25",
        "last_updated": "2011-08-25",
        "status": "A",
        "authorized_official_last_name": "CHO",
        "authorized_official_first_name": "YOOJIN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "972-649-6221",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eastside Children'S Clinic, PLLC
• Amina Ebrahim, O.D.
• Echo Health Supplies LLC
• Larry Eckhardt, D.C.
• Alanah Eckrich, NP
• Edge Rehabilitation and Sports Therapy - Allen LLC
• Dana Patricia Edmonds, DNP FNP-C
• David C Edwards, MD
• John Drosten Edwards Jr., MS, LPC-ASSOCIATE
• Joshua Cade Edwards, D.C.

• General Practice Dentistry in Allen, TX
• Providers in Allen, 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 25, 2011; 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.