Northeast Dallas Dental Associates, PLLC
Northeast Dallas Dental Associates, PLLC is a General Practice Dentistry in Mansfield, Texas. Licensed in Texas. Registered with an NPI since 2016.
- Licensed in
- TX
- In the registry since
- 2016
What do these letters mean?
- PLLC — Professional limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
1560 E Debbie Ln Ste 108Mansfield, TX 76063-8575
Phone: (817) 453-8520
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| General Practice Dentistry (primary) | Taxonomy 1223G0001X · Licence 28984 (TX) |
|---|
Record details
| NPI number | 1932566213 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Levy Do — President · (405) 633-3396 |
| Other names | Pine Cove Dental; Pine Cove Dental |
| NPI enumerated | January 18, 2016 |
| Last updated in NPPES | January 23, 2018 |
| Mailing address | 1560 E Debbie Ln Ste 108, Mansfield, TX 76063-8575 |
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Dr. Amy Jo Modrall, DDS
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Faith Amber Rheiner, DMD
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