MEDICARE: NING CHI DMD

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	30323	TX
2	122300000X	Dentist	DN20803	FL

General Provider Information

NPI Number	:	1093115859
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NING CHI DMD

Provider Business Mailing Address
First Line	:	3030 LBJ FWY STE 1400
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75234-2766
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1315 W JEFFERSON BLVD
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75208-5324
Country	:	US
Telephone Number	:	214-941-4200
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/29/2014
Last Update Date	:	08/29/2014

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Directions to “ NING CHI DMD” Practice Location

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