Provider Demographics
NPI:1356844484
Name:D&B DENTISTRY, PLLC
Entity Type:Organization
Organization Name:D&B DENTISTRY, PLLC
Other - Org Name:ANCESTRY DENTAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:DYLAN
Authorized Official - Middle Name:N
Authorized Official - Last Name:DO
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:714-333-8331
Mailing Address - Street 1:5550 SOUTH BUCKNER BLVD.
Mailing Address - Street 2:STE 270
Mailing Address - City:MESQUITE
Mailing Address - State:TX
Mailing Address - Zip Code:75149
Mailing Address - Country:US
Mailing Address - Phone:972-635-8555
Mailing Address - Fax:972-635-8544
Practice Address - Street 1:5550 SOUTH BUCKNER BLVD.
Practice Address - Street 2:STE 270
Practice Address - City:MESQUITE
Practice Address - State:TX
Practice Address - Zip Code:75149
Practice Address - Country:US
Practice Address - Phone:972-635-8555
Practice Address - Fax:972-635-8544
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-03-15
Last Update Date:2018-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental