MEDICARE: DENTISTS OF ARLINGTON PC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	122300000X	Dentist

General Provider Information

NPI Number	:	1659846244
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DENTISTS OF ARLINGTON PC

Provider Business Mailing Address
First Line	:	PO BOX 920050
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75392-0050
Country	:	US
Telephone Number	:	714-845-8500
Fax Number	:	303-952-0892

Provider Business Practice Location Address
First Line	:	5009 W SUBLETT RD STE 100
Second Line	:
City	:	ARLINGTON
State	:	TX
Zip	:	76017-1177
Country	:	US
Telephone Number	:	817-717-3640
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	DR. BAILEY M MARTIN
Credential	:	DDS
Telephone Number	:	817-717-3640

Provider Enumeration Date	:	10/10/2018
Last Update Date	:	08/22/2024

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