Provider Demographics
NPI:1275905176
Name:OMNI DENTAL PLLC
Entity Type:Organization
Organization Name:OMNI DENTAL PLLC
Other - Org Name:ARLINGTON DENTAL ASSOCIATES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:MARCUS
Authorized Official - Last Name:CHEI
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:214-326-9077
Mailing Address - Street 1:4654 S COOPER ST
Mailing Address - Street 2:316
Mailing Address - City:ARLINGTON
Mailing Address - State:TX
Mailing Address - Zip Code:76017-5865
Mailing Address - Country:US
Mailing Address - Phone:817-557-0095
Mailing Address - Fax:817-557-1805
Practice Address - Street 1:4654 S COOPER ST
Practice Address - Street 2:316
Practice Address - City:ARLINGTON
Practice Address - State:TX
Practice Address - Zip Code:76017-5865
Practice Address - Country:US
Practice Address - Phone:817-557-0095
Practice Address - Fax:817-557-1805
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-10-30
Last Update Date:2015-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty