Wow Family Dental P.a

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

20467 Issued in TX

Legal business name

WOW FAMILY DENTAL P.A

Practice address

3306 W Camp Wisdom Rd
Ste. 100
Dallas, TX 75237-2596

Phone

(817) 577-9200

NPI assigned

Oct 10, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Kaivan Afkami, DDS

Title

Owner

Phone

(817) 577-9200

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1476057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476057600000",
    "number": "1619427002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1801 PRECINCT LINE RD",
            "address_2": "STE. A",
            "city": "HURST",
            "state": "TX",
            "postal_code": "760543170",
            "telephone_number": "817-577-9200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3306 W CAMP WISDOM RD",
            "address_2": "STE. 100",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752372596",
            "telephone_number": "817-577-9200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOW FAMILY DENTAL P.A",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-10",
        "last_updated": "2016-10-10",
        "status": "A",
        "authorized_official_last_name": "AFKAMI",
        "authorized_official_first_name": "KAIVAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "817-577-9200",
        "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": "20467",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wound Care Consultants of Texas PLLC
• Wound Care Innovations, LLC
• Wound Professional Services of Texas, PA
• Woundcare Partners of Texas
• Wow Dental of Duncanville PLLC
• Andrea Louise Woywitka
• Alexander Woznicki, MD
• WP Pharma Labs, Inc.
• Nicole Wrask
• Kathryn Nicole Wray, M.D.

• General Practice Dentistry in Dallas, TX
• Providers in Dallas, 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 10, 2016; 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.