The Dentist Off Main, PLLC
The Dentist Off Main, PLLC is a General Practice Dentistry in Grapevine, Texas. Licensed in Texas. Registered with an NPI since 2013.
- Licensed in
- TX
- In the registry since
- 2013
What do these letters mean?
- PLLC — Professional limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
1245 S Main St Ste 100Grapevine, TX 76051
Phone: (817) 527-1590
Fax: (940) 497-3010
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 19398 (TX) |
|---|
Record details
| NPI number | 1396184693 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Richard Luczak — Ceo · (817) 527-1590 |
| NPI enumerated | June 19, 2013 |
| Last updated in NPPES | June 19, 2013 |
| Mailing address | 1245 S. Main St., Suite 100, Grapevine, TX 76051 |
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