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NPI Code Detail

MEDICARE: ESTATE DENTAL PA

MEDICARE: ESTATE DENTAL PA
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
11223G0001XGeneral Practice Dentistry19708TX

General Provider Information

NPI Number : 1851360291
Entity Type Code : Organization
Provider Name (Legal Business Name) : ESTATE DENTAL PA
Provider Business Mailing Address
First Line : 3825 W SPRING CREEK PKWY
Second Line : SUITE 200
City : PLANO
State : TX
Zip : 75023-3849
Country : US
Telephone Number : 972-867-7768
Fax Number : 972-867-0800
Provider Business Practice Location Address
First Line : 3825 W SPRING CREEK PKWY
Second Line : SUITE 200
City : PLANO
State : TX
Zip : 75023-3849
Country : US
Telephone Number : 972-867-7768
Fax Number : 972-867-0800
Authorized Official
Title or Position : OWNER DENTIST
Name : DR. LINDA LING CHENG
Credential : DDS
Telephone Number : 972-867-7768
Provider Enumeration Date : 03/17/2006
Last Update Date : 08/22/2020

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Directions to “ESTATE DENTAL PA ” Practice Location

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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.