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1720681471 NPI number — TOOTH DENTAL CENTER PA

NPI Number: 1720681471
Health Care Provider/Practitioner: TOOTH DENTAL CENTER PA

Information about “1720681471” NPI (TOOTH DENTAL CENTER PA) exists in 1720681471 in HTML format HTML  |  1720681471 in plain Text format TXT  |  1720681471 in PDF (Portable Document Format) PDF  |  1720681471 in an XML format XML  formats.

NPI Number : 1720681471 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1720681471",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "TOOTH DENTAL CENTER PA",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "3609 N WARE RD",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "MCALLEN",
    "MailingAddressStateName": "TX",
    "MailingAddressPostalCode": "78501-3304",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "956-627-2385",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "3609 N WARE RD",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "MCALLEN",
    "PracticeLocationAddressStateName": "TX",
    "PracticeLocationAddressPostalCode": "78501-3304",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "956-627-2385",
    "PracticeLocationAddressFaxNumber": "956-627-2473",
    "EnumerationDate": "11/17/2020",
    "LastUpdateDate": "11/22/2022",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "MOYA-FONSECA",
    "AuthorizedOfficialFirstName": "ELMA",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "CO-SUPERVISOR",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "956-627-2385",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "122300000X",
        "TaxonomyName": "Dentist",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": {
      "HealthcareProviderTaxonomyGroup": {
        "HealthcareProviderTaxonomyGroupName": "193200000X MULTI-SPECIALTY GROUP",
        "HealthcareProviderTaxonomyGroupDescription": "Multi-Specialty Group - A business group of one or more individual practitioners, who practice with different areas of specialization."
      }
    }
  }
}
                
            

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