Tcosdi North Dallas, PLLC

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

Legal business name

TCOSDI NORTH DALLAS, PLLC

Practice address

14856 Preston Rd Ste 104
Dallas, TX 75254-6844

Phone

(972) 217-8989

NPI assigned

Jul 24, 2023

Organization subpart

No

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

Authorized official

Name

Sarah Hodan

Title

Associate Director of Operations

Phone

(972) 436-0008

Specialties & licenses 1

Addresses

Other names 1

• Texas Wisdom Teeth Doing business as

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

{
    "created_epoch": "1690156800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690156800000",
    "number": "1740960798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "651 CROSS TIMBERS RD STE 103",
            "city": "FLOWER MOUND",
            "state": "TX",
            "postal_code": "750281300",
            "telephone_number": "972-436-1513",
            "fax_number": "972-436-0618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14856 PRESTON RD STE 104",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752546844",
            "telephone_number": "972-217-8989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TCOSDI NORTH DALLAS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-24",
        "last_updated": "2023-07-24",
        "certification_date": "2023-07-24",
        "status": "A",
        "authorized_official_last_name": "HODAN",
        "authorized_official_first_name": "SARAH",
        "authorized_official_title_or_position": "ASSOCIATE DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "972-436-0008"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Texas Wisdom Teeth",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Tcer LLC
• Amanda Siewert Tchakarov, M.D.
• Lea Tchato, NP
• Mario Cyriac Tchaya Tcheukado
• Kathryn Mary Tchorz, MD
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• TD Dental PLLC
• TD Pain Services PLLC
• TDM Laboratories of Katy, LLC
• Olga Teachenor, PA-C

• Oral and Maxillofacial Surgery (Dentist) in Dallas, TX
• Providers in Dallas, TX by specialty
• Oral and Maxillofacial Surgery (Dentist) in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2023; 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.