Mobile Gentle Dentistry PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

23273 Issued in TX

Legal business name

MOBILE GENTLE DENTISTRY PLLC

Practice address

820 S Macarthur Blvd
105-363
Coppell, TX 75019-4216

Phone

(214) 519-8427

NPI assigned

Sep 22, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Glenn Leon Vo, DDS

Title

Owner

Phone

(214) 519-8427

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1285113600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1285113600000",
    "number": "1518275619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "820 S MACARTHUR BLVD",
            "address_2": "105-363",
            "city": "COPPELL",
            "state": "TX",
            "postal_code": "750194216",
            "telephone_number": "214-519-8427"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "820 S MACARTHUR BLVD",
            "address_2": "105-363",
            "city": "COPPELL",
            "state": "TX",
            "postal_code": "750194216",
            "telephone_number": "214-519-8427"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOBILE GENTLE DENTISTRY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-22",
        "last_updated": "2010-09-22",
        "status": "A",
        "authorized_official_last_name": "VO",
        "authorized_official_first_name": "GLENN",
        "authorized_official_middle_name": "LEON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "214-519-8427",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "23273",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "184801206",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jessica Miller, PTA
• Jodi Miller, FNP
• Yolande Millhorn, LMT
• Pezhman Mirzakhani, LSA
• Courtney Shae Mitchell, LPC
• Angela Nnebuchi Moemeka, MD
• Precious Mohammed
• Nuzhat Moinuddin, APRN CNP
• Patrick Axel Molina, MD, PHD
• Marcela Carolina Montes, LPC

• General Practice Dentistry in Coppell, TX
• Providers in Coppell, 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 Sep 22, 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.