Provider Demographics
NPI:1366679532
Name:EXCEL DENTAL CARE PC
Entity Type:Organization
Organization Name:EXCEL DENTAL CARE PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/DENTIST
Authorized Official - Prefix:
Authorized Official - First Name:WASEEM
Authorized Official - Middle Name:M
Authorized Official - Last Name:MUGHAL
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:214-504-9400
Mailing Address - Street 1:11511 INDEPENDENCE PKWY STE 100
Mailing Address - Street 2:
Mailing Address - City:FRISCO
Mailing Address - State:TX
Mailing Address - Zip Code:75035-4676
Mailing Address - Country:US
Mailing Address - Phone:214-504-9400
Mailing Address - Fax:214-504-9416
Practice Address - Street 1:11511 INDEPENDENCE PKWY STE 100
Practice Address - Street 2:
Practice Address - City:FRISCO
Practice Address - State:TX
Practice Address - Zip Code:75035-4676
Practice Address - Country:US
Practice Address - Phone:214-504-9400
Practice Address - Fax:214-504-9416
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-06-16
Last Update Date:2023-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Multi-Specialty
No1223P0221XDental ProvidersDentistPediatric DentistryGroup - Multi-Specialty
No1223X0400XDental ProvidersDentistOrthodontics and Dentofacial OrthopedicsGroup - Multi-Specialty