Provider Demographics
NPI:1033692967
Name:ASSOCIATES IN PIE MCKINNEY, PLLC
Entity Type:Organization
Organization Name:ASSOCIATES IN PIE MCKINNEY, PLLC
Other - Org Name:ASSOCIATES IN PIE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CO-OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:ANTHONY
Authorized Official - Last Name:GOODWIN
Authorized Official - Suffix:
Authorized Official - Credentials:DDS, MS
Authorized Official - Phone:972-816-3485
Mailing Address - Street 1:1005 LONG PRAIRIE RD STE 100
Mailing Address - Street 2:
Mailing Address - City:FLOWER MOUND
Mailing Address - State:TX
Mailing Address - Zip Code:75022-4232
Mailing Address - Country:US
Mailing Address - Phone:972-538-3700
Mailing Address - Fax:
Practice Address - Street 1:1750 N STONEBRIDGE DR STE 103
Practice Address - Street 2:
Practice Address - City:MCKINNEY
Practice Address - State:TX
Practice Address - Zip Code:75071-7553
Practice Address - Country:US
Practice Address - Phone:972-547-4141
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-09-06
Last Update Date:2018-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223P0300XDental ProvidersDentistPeriodonticsGroup - Multi-Specialty
No1223E0200XDental ProvidersDentistEndodonticsGroup - Multi-Specialty