Provider Demographics
NPI:1205004223
Name:NORTH ARLINGTON DENTAL CARE, PA
Entity Type:Organization
Organization Name:NORTH ARLINGTON DENTAL CARE, PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:TODD
Authorized Official - Middle Name:
Authorized Official - Last Name:GATHRIGHT
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:817-991-9478
Mailing Address - Street 1:2131 N COLLINS ST
Mailing Address - Street 2:STE 415
Mailing Address - City:ARLINGTON
Mailing Address - State:TX
Mailing Address - Zip Code:76011-2849
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2131 N COLLINS ST
Practice Address - Street 2:STE 415
Practice Address - City:ARLINGTON
Practice Address - State:TX
Practice Address - Zip Code:76011-2849
Practice Address - Country:US
Practice Address - Phone:817-277-7800
Practice Address - Fax:817-274-0300
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-12
Last Update Date:2008-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX203971223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty