Pacific Dental Center LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

020476 Issued in TX

Legal business name

PACIFIC DENTAL CENTER LLC

Practice address

3043 Old Denton Rd
108
Carrollton, TX 75007-5036

Phone

(972) 567-7450

NPI assigned

Oct 29, 2008

Organization subpart

No

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

Authorized official

Name

Tuan D Su

Title

Member

Phone

(972) 567-7450

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1225238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1225238400000",
    "number": "1598918955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3043 OLD DENTON RD",
            "address_2": "108",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750075036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3043 OLD DENTON RD",
            "address_2": "108",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750075036",
            "telephone_number": "972-567-7450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACIFIC DENTAL CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-29",
        "last_updated": "2008-10-29",
        "status": "A",
        "authorized_official_last_name": "SU",
        "authorized_official_first_name": "TUAN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "972-567-7450"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "020476",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• P Dental Center LC
• P.O.W.E.R. (Providing Others With Essential Resources), PLLC
• P&J Dental Care PLLC
• Crystal Jean Pachuca, APRN
• Pacific Dental Care Tuan Di Su DDS PA
• Pacific Dental LLP
• Padez Home Health Inc
• Madison Page
• Jeniece Marie Paige
• Sushma Pakalapati

• General Practice Dentistry in Carrollton, TX
• Providers in Carrollton, 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 Oct 29, 2008; 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.