Provider Demographics
NPI:1063851368
Name:SERENITY GLOBAL LLC
Entity Type:Organization
Organization Name:SERENITY GLOBAL LLC
Other - Org Name:SERENITY DENTAL SPA OF ARLINGTON
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:MRS
Authorized Official - First Name:CHANERICA
Authorized Official - Middle Name:CHANISE
Authorized Official - Last Name:EASLEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:214-403-8611
Mailing Address - Street 1:696 N FIELDER RD
Mailing Address - Street 2:SUITE 104
Mailing Address - City:ARLINGTON
Mailing Address - State:TX
Mailing Address - Zip Code:76012-3886
Mailing Address - Country:US
Mailing Address - Phone:817-277-1871
Mailing Address - Fax:817-277-1872
Practice Address - Street 1:696 N FIELDER RD
Practice Address - Street 2:SUITE 104
Practice Address - City:ARLINGTON
Practice Address - State:TX
Practice Address - Zip Code:76012-3886
Practice Address - Country:US
Practice Address - Phone:817-277-1871
Practice Address - Fax:817-277-1872
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-06-19
Last Update Date:2013-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX24655122300000X
TX27184122300000X
TX27691122300000X
TX14789122300000X
TX285821223P0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Multi-Specialty
No1223P0300XDental ProvidersDentistPeriodonticsGroup - Multi-Specialty