Organization Active NPI

Denton Family Dental Clinic PA

  • Dental Clinic/Center
  • Denton, TX
National Provider Identifier
1821261157
Registry record updated Apr 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
20467 Issued in TX
Legal business name
DENTON FAMILY DENTAL CLINIC PA
Practice address
1304 Teasley LN
Denton, TX 76205-7946
Phone
(817) 577-9200
Fax
(817) 281-9231
NPI assigned
Apr 8, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2008

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

Authorized official

Name
Ms. Esmeralda Morales
Title
Office Manager
Phone
(817) 577-9200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 20467 TX Primary

Addresses

Primary practice location

1304 Teasley LN
Denton, TX 76205-7946

Mailing address

1304 Teasley LN
Denton, TX 76205-7946
Phone (817) 577-9200

National Provider Directory

National Provider Directory

Locations

1304 Teasley Ln
Denton, TX 76205
Phone (817) 577-9200

NPI Registry JSON

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

{
    "created_epoch": "1207612800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207612800000",
    "number": "1821261157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1304 TEASLEY LN",
            "city": "DENTON",
            "state": "TX",
            "postal_code": "762057946",
            "telephone_number": "817-577-9200",
            "fax_number": "817-281-9231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1304 TEASLEY LN",
            "city": "DENTON",
            "state": "TX",
            "postal_code": "762057946",
            "telephone_number": "817-577-9200",
            "fax_number": "817-281-9231"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTON FAMILY DENTAL CLINIC PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-08",
        "last_updated": "2008-04-08",
        "status": "A",
        "authorized_official_last_name": "MORALES",
        "authorized_official_first_name": "ESMERALDA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "817-577-9200",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "TX",
            "license": "20467",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denton, TX

Sources for this page

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