SH Dental PLLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

29544 Issued in TX

Legal business name

SH DENTAL PLLC

Practice address

740 SW Green Oaks Blvd Ste 201
Arlington, TX 76017-6257

Phone

(714) 309-2320

NPI assigned

Dec 26, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Seung Song, DDS

Title

Owner

Phone

(714) 309-2320

Specialties & licenses 1

Addresses

Other names 1

• Matlock Family Dental Doing business as

Locations

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

{
    "created_epoch": "1514246400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1518048000000",
    "number": "1780190918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2433 HUNTERS BLVD",
            "city": "LEWISVILLE",
            "state": "TX",
            "postal_code": "750564749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "740 SW GREEN OAKS BLVD STE 201",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760176257",
            "telephone_number": "714-309-2320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SH DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-26",
        "last_updated": "2018-02-08",
        "status": "A",
        "authorized_official_last_name": "SONG",
        "authorized_official_first_name": "SEUNG",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "714-309-2320",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "TX",
            "license": "29544",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Matlock Family Dental",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Matlock Family Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Zachary Ward Setty-O'Connor, COTA, RAC-CT
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• Kathryn Teresa Sexton, LCSW
• Gina Irene Seymour, O.D.
• SGH Pediatrics, PLLC
• Siavash Shaddel-, DDS
• James R Shadle Jr., D.D.S.
• Mary Grace Shafer, CCC-SLP
• Atulkumar Thakorlal Shah, M.D.
• Jilpa Shah

• Dental Clinic/Center in Arlington, TX
• Providers in Arlington, TX by specialty
• Dental Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2018; 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.