Provider Demographics
NPI:1326318478
Name:STREMPEK DENTAL ARTS
Entity Type:Organization
Organization Name:STREMPEK DENTAL ARTS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JACQUELINE
Authorized Official - Middle Name:S
Authorized Official - Last Name:STREMPEK
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:214-692-1359
Mailing Address - Street 1:8220 WALNUT HILL LANE
Mailing Address - Street 2:PROF. BLDG 2, SUITE 106
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75231
Mailing Address - Country:US
Mailing Address - Phone:214-692-1359
Mailing Address - Fax:214-369-1810
Practice Address - Street 1:8220 WALNUT HILL LANE
Practice Address - Street 2:PROF. BLDG 2, SUITE 106
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75231
Practice Address - Country:US
Practice Address - Phone:214-692-1359
Practice Address - Fax:214-369-1810
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-01-06
Last Update Date:2012-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX21398305R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes305R00000XManaged Care OrganizationsPreferred Provider Organization
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1790810166OtherINDIVIDUAL NPI