Provider Demographics
NPI:1073088704
Name:GOOD GUYS PLLC
Entity Type:Organization
Organization Name:GOOD GUYS PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:CHANTELLE
Authorized Official - Middle Name:
Authorized Official - Last Name:GALLINGTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:469-712-4100
Mailing Address - Street 1:1000 N PRESTON RD STE 40
Mailing Address - Street 2:
Mailing Address - City:PROSPER
Mailing Address - State:TX
Mailing Address - Zip Code:75078-8893
Mailing Address - Country:US
Mailing Address - Phone:469-712-4100
Mailing Address - Fax:469-712-4100
Practice Address - Street 1:1000 N PRESTON RD STE 40
Practice Address - Street 2:
Practice Address - City:PROSPER
Practice Address - State:TX
Practice Address - Zip Code:75078-8893
Practice Address - Country:US
Practice Address - Phone:469-712-4100
Practice Address - Fax:469-712-4100
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-10-09
Last Update Date:2018-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty