Preventive Green Dental Care Inc

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

PREVENTIVE GREEN DENTAL CARE INC

Practice address

2520 K Ave Ste 180
Plano, TX 75074-5378

Phone

(708) 769-1073

NPI assigned

Sep 15, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Firas El-Muqdad, DDS

Title

Dentist

Phone

(708) 769-1073

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1442275200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1442275200000",
    "number": "1831568302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2520 K AVE STE 180",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750745378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2520 K AVE STE 180",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750745378",
            "telephone_number": "708-769-1073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREVENTIVE GREEN DENTAL CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-15",
        "last_updated": "2015-09-15",
        "status": "A",
        "authorized_official_last_name": "EL-MUQDAD",
        "authorized_official_first_name": "FIRAS",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "708-769-1073",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dentist in Plano, TX
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2015; 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.