NPIMap

Organization Active NPI

Udc Buckner Blvd,, PLLC

Doing business as Universal Dental Clinic

  • General Practice Dentistry
  • Dallas, TX
National Provider Identifier
1508262791
Registry record updated Nov 14, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
UDC BUCKNER BLVD,, PLLC
Doing business as
Universal Dental Clinic
Practice address
426 S Buckner Blvd
Dallas, TX 75217-6521
Phone
(469) 248-2958
Fax
(469) 248-2875
NPI assigned
Nov 14, 2014
Last updated
Nov 14, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2014

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

Authorized official

Name
Dr. Coray L Preece, DDS
Title
Doctor
Phone
(469) 248-2958

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X Primary

Addresses

Primary practice location

426 S Buckner Blvd
Dallas, TX 75217-6521

Mailing address

426 S Buckner Blvd
Dallas, TX 75217-6521
Phone (469) 248-2958

Other names 1

  • Universal Dental Clinic Doing business as

National Provider Directory

National Provider Directory

Locations

426 S Buckner Blvd
Dallas, TX 75217
Phone (469) 248-2958

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1415923200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1415923200000",
    "number": "1508262791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "426 S BUCKNER BLVD",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752176521",
            "telephone_number": "469-248-2958",
            "fax_number": "469-248-2875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "426 S BUCKNER BLVD",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752176521",
            "telephone_number": "469-248-2958",
            "fax_number": "469-248-2875"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UDC BUCKNER BLVD,, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-14",
        "last_updated": "2014-11-14",
        "status": "A",
        "authorized_official_last_name": "PREECE",
        "authorized_official_first_name": "CORAY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "469-248-2958",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Universal Dental Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2014; 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.