Provider Demographics
NPI:1356469993
Name:PLANO-DBE, LTD
Entity Type:Organization
Organization Name:PLANO-DBE, LTD
Other - Org Name:PLANO ENDODONTICS
Other - Org Type:Other Name
Authorized Official - Title/Position:MGR
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:BARNETTE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:972-713-6644
Mailing Address - Street 1:5072 W PLANO PKWY STE 180
Mailing Address - Street 2:
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75093-4469
Mailing Address - Country:US
Mailing Address - Phone:972-713-6644
Mailing Address - Fax:972-713-6688
Practice Address - Street 1:5072 W PLANO PKWY STE 180
Practice Address - Street 2:
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75093-4469
Practice Address - Country:US
Practice Address - Phone:972-713-6644
Practice Address - Fax:972-713-6688
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-26
Last Update Date:2007-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX196981223E0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223E0200XDental ProvidersDentistEndodonticsGroup - Single Specialty