MEDICARE: LORENDA L. GRACE DDS

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	1223D0004X	Dental Anesthesiology	17194	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	20-3906587	OTHER	TX	TAX ID

General Provider Information

NPI Number	:	1184830077
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LORENDA L. GRACE DDS

Provider Business Mailing Address
First Line	:	PO BOX 631606
Second Line	:
City	:	IRVING
State	:	TX
Zip	:	75063-0025
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	6565 N MACARTHUR BLVD
Second Line	:	225
City	:	IRVING
State	:	TX
Zip	:	75039-2461
Country	:	US
Telephone Number	:	214-677-8542
Fax Number	:

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

Provider Enumeration Date	:	05/15/2007
Last Update Date	:	05/20/2013

Similar Medicare Providers

1417968322 — DR. BEVERLY JEAN OWEN ED.D.
Practice Location Address:

6565 N MACARTHUR BLVD , SUITE 225
IRVING, TX
75039-2461

Practice Phone: 972-759-7118
Practice Fax:

1295694537 — ADRIANNA PAIGE STARK
Practice Location Address:

400 E ROYAL LN BLDG 3 , SUITE 290
IRVING, TX
75039-3540

Practice Phone: 855-832-6727
Practice Fax: 772-675-9100

1255299848 — YUZHENG ZHOU
Practice Location Address:

400 E ROYAL LN STE 290
IRVING, TX
75039-3602

Practice Phone: 855-832-6727
Practice Fax:

1982598199 — HAVEN PSYCHIATRY AND WELLNESS PLLC
Practice Location Address:

5000 RIVERSIDE DR STE 100E
IRVING, TX
75039-4333

Practice Phone: 214-764-9915
Practice Fax: 214-764-9193

1508725607 — THERACARE LAS COLINAS
Practice Location Address:

7301 STATE HIGHWAY 161 STE 220
IRVING, TX
75039-2827

Practice Phone: 682-253-2510
Practice Fax:

1720944622 — KNEW TOUR LLC
Practice Location Address:

850 LAKE CAROLYN PKWY
IRVING, TX
75039-4385

Practice Phone: 469-928-6772
Practice Fax:

Directions to “ LORENDA L. GRACE DDS” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.