MEDICARE: BMP 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
1	261QD0000X	Dental Clinic/Center	19536	TX

General Provider Information

NPI Number	:	1952640328
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BMP DENTAL, PA

Provider Business Mailing Address
First Line	:	4020 HEDGCOXE RD
Second Line	:	STE 500
City	:	PLANO
State	:	TX
Zip	:	75024-7700
Country	:	US
Telephone Number	:	972-618-4757
Fax Number	:	972-618-4730

Provider Business Practice Location Address
First Line	:	4020 HEDGCOXE RD
Second Line	:	STE 500
City	:	PLANO
State	:	TX
Zip	:	75024-7700
Country	:	US
Telephone Number	:	972-618-4757
Fax Number	:	972-618-4730

Authorized Official
Title or Position	:	DENTIST
Name	:	BELA MIHIR PATEL
Credential	:
Telephone Number	:	972-618-4757

Provider Enumeration Date	:	02/05/2013
Last Update Date	:	02/05/2013

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