Provider Demographics
NPI:1154628402
Name:BOB JING D.D.S P.A.
Entity Type:Organization
Organization Name:BOB JING D.D.S P.A.
Other - Org Name:7 DAY DENTAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGING PARTNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:JILL
Authorized Official - Middle Name:
Authorized Official - Last Name:JING
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:214-600-9862
Mailing Address - Street 1:2925 WESTMINSTER AVE
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75205-1508
Mailing Address - Country:US
Mailing Address - Phone:214-600-9862
Mailing Address - Fax:
Practice Address - Street 1:115 W SEMINARY DR STE 101
Practice Address - Street 2:
Practice Address - City:FORT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76115-2603
Practice Address - Country:US
Practice Address - Phone:817-529-0855
Practice Address - Fax:817-529-0862
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-02-23
Last Update Date:2014-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental