Parkway Dental Professionals, P.C.

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

PARKWAY DENTAL PROFESSIONALS, P.C.

Doing business as

The Parkway Dentist

Practice address

4200 Bryant Irvin Rd Ste 101
Benbrook, TX 76109-4212

Phone

(817) 735-1616

NPI assigned

Sep 19, 2018

Organization subpart

No

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

Authorized official

Name

Desiree McAuley

Title

Training Director

Phone

(817) 909-9219

Specialties & licenses 1

Addresses

Other names 1

• The Parkway Dentist Doing business as

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

{
    "created_epoch": "1537315200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1537315200000",
    "number": "1861976490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4200 BRYANT IRVIN RD STE 101",
            "city": "BENBROOK",
            "state": "TX",
            "postal_code": "761094212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4200 BRYANT IRVIN RD STE 101",
            "city": "BENBROOK",
            "state": "TX",
            "postal_code": "761094212",
            "telephone_number": "817-735-1616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARKWAY DENTAL PROFESSIONALS, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-19",
        "last_updated": "2018-09-19",
        "status": "A",
        "authorized_official_last_name": "MCAULEY",
        "authorized_official_first_name": "DESIREE",
        "authorized_official_title_or_position": "TRAINING DIRECTOR",
        "authorized_official_telephone_number": "817-909-9219"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Parkway Dentist",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Leticia Palacios
• Palo Pinto County Hospital District (Benbrook Nursing & Rehabilitation Center)
• Pamela Stuntz Counseling LLC
• Jasmine Paredes
• Judd Parker, D.C.
• Anika Patel, BA, RBT
• Priyanka Patel
• Robert Alan Paul, DO
• Casey Paulin, FNP-C
• Pediatric Services of America, LLC (Aveanna Healthcare)

• Dental Clinic/Center in Benbrook, TX
• Providers in Benbrook, 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 Sep 19, 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.