Provider Demographics
NPI:1114366655
Name:FIRST STAR DENTAL PLLC
Entity Type:Organization
Organization Name:FIRST STAR DENTAL PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/MANAGER
Authorized Official - Prefix:DR
Authorized Official - First Name:YUPEI
Authorized Official - Middle Name:
Authorized Official - Last Name:CHEN
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:972-491-7258
Mailing Address - Street 1:2301 N. CENTRAL EXPRESSWAY
Mailing Address - Street 2:SUITE 270
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75075-2535
Mailing Address - Country:US
Mailing Address - Phone:972-479-9304
Mailing Address - Fax:
Practice Address - Street 1:2301 N. CENTRAL EXPRESSWAY
Practice Address - Street 2:SUITE 270
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75075-2535
Practice Address - Country:US
Practice Address - Phone:972-479-9304
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-06-18
Last Update Date:2015-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX270271223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty