Family Dental Clinic, PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

12891811 Issued in TX

Legal business name

FAMILY DENTAL CLINIC, PC

Practice address

3128 Forest LN
Ste. 106
Dallas, TX 75234-7726

Phone

(972) 241-4820

Fax

(972) 241-1627

NPI assigned

Aug 2, 2013

Organization subpart

No

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

Authorized official

Name

Mrs. Lily B Hailemeskel

Title

Owner/Manager

Phone

(469) 939-8219

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1375401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1375401600000",
    "number": "1992137707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3128 FOREST LN",
            "address_2": "STE. 106",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752347726",
            "telephone_number": "972-241-4820",
            "fax_number": "972-241-1627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3128 FOREST LN",
            "address_2": "STE. 106",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752347726",
            "telephone_number": "972-241-4820",
            "fax_number": "972-241-1627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY DENTAL CLINIC, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-02",
        "last_updated": "2013-08-02",
        "status": "A",
        "authorized_official_last_name": "HAILEMESKEL",
        "authorized_official_first_name": "LILY",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER/MANAGER",
        "authorized_official_telephone_number": "469-939-8219",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "12891811",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Family and Child Guidance Centers
• Family and Health First Inc
• Family Care Connection
• Family Counseling North Dallas PLLC
• Family Dental and Orthodontics Skillman Dallas PLLC
• Family Desire Home Health Services
• Family DME Supply LLC
• Family Dynamics Inc
• Family Empowerment & Life Management Services
• Family Faith Residential Care

• General Practice Dentistry in Dallas, TX
• Providers in Dallas, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2013; 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.