MEDICARE: CHAMPION DENTAL

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	261QD0000X	Dental Clinic/Center

General Provider Information

NPI Number	:	1528600988
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CHAMPION DENTAL

Provider Business Mailing Address
First Line	:	2936 VALLEY VIEW LN
Second Line	:
City	:	FARMERS BRANCH
State	:	TX
Zip	:	75234-4929
Country	:	US
Telephone Number	:	214-945-7334
Fax Number	:

Provider Business Practice Location Address
First Line	:	2936 VALLEY VIEW LN
Second Line	:
City	:	FARMERS BRANCH
State	:	TX
Zip	:	75234-4929
Country	:	US
Telephone Number	:	214-945-7334
Fax Number	:

Authorized Official
Title or Position	:	CREDENTIALING MANAGER
Name	:	CHAD HENDRICKS
Credential	:
Telephone Number	:	612-859-0444

Provider Enumeration Date	:	10/16/2019
Last Update Date	:	10/16/2019

Similar Medicare Providers

1922573609 — THE RUIZ GROUP, LLC
Practice Location Address:

2914 VALLEY VIEW LN
FARMERS BRANCH, TX
75234-4929

Practice Phone: 214-534-1651
Practice Fax:

1104338177 — NORMA SALAZAR-GALVAN
Practice Location Address:

3614 RED OAK BRANCH LN
KINGWOOD, TX
77345-4929

Practice Phone: 832-618-2430
Practice Fax:

1265441893 — DR. MINA HAGHIRI DDS
Practice Location Address:

2936 VALLEY VIEW LN
DALLAS, TX
75234-4929

Practice Phone: 972-241-4433
Practice Fax: 972-241-1515

1821263187 — DR. MAHNAZ HAGHIRI TSENG D.D.S.
Practice Location Address:

2936 VALLEY VIEW LN
DALLAS, TX
75234-4929

Practice Phone: 214-862-6777
Practice Fax: 214-241-1515

1154269157 — MARLENE WOODS
Practice Location Address:

2100 VALLEY VIEW LN STE 400
FARMERS BRANCH, TX
75234-1271

Practice Phone: 469-546-7746
Practice Fax:

1235079682 — HEALING MINDS MENTAL HEALTH
Practice Location Address:

2727 LBJ FWY
FARMERS BRANCH, TX
75234-7334

Practice Phone: 804-467-1232
Practice Fax:

Directions to “CHAMPION DENTAL ” 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.