Provider Demographics
NPI:1225336001
Name:PIXAR DENTAL AND ORTHODONTICS PLLC
Entity Type:Organization
Organization Name:PIXAR DENTAL AND ORTHODONTICS PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:HOANG
Authorized Official - Middle Name:T
Authorized Official - Last Name:BUI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:817-465-9000
Mailing Address - Street 1:4701 S COOPER ST
Mailing Address - Street 2:SUITE #103
Mailing Address - City:ARLINGTON
Mailing Address - State:TX
Mailing Address - Zip Code:76017-5926
Mailing Address - Country:US
Mailing Address - Phone:817-465-9000
Mailing Address - Fax:817-465-9001
Practice Address - Street 1:4701 S COOPER ST
Practice Address - Street 2:SUITE #103
Practice Address - City:ARLINGTON
Practice Address - State:TX
Practice Address - Zip Code:76017-5926
Practice Address - Country:US
Practice Address - Phone:817-465-9000
Practice Address - Fax:817-465-9001
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-03-03
Last Update Date:2011-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX239991223G0001X
TX248161223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Multi-Specialty
No1223X0400XDental ProvidersDentistOrthodontics and Dentofacial OrthopedicsGroup - Multi-Specialty