Provider Demographics
NPI:1386188555
Name:FOUR-N DENTAL, PLLC
Entity Type:Organization
Organization Name:FOUR-N DENTAL, PLLC
Other - Org Name:LOCHWOOD FAMILY DENTAL, COOPER FAMILY DENTAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:CUNG
Authorized Official - Middle Name:LUONG
Authorized Official - Last Name:NGUYEN
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:214-343-9115
Mailing Address - Street 1:12989 JUPITER RD
Mailing Address - Street 2:106
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75238-3212
Mailing Address - Country:US
Mailing Address - Phone:214-343-9115
Mailing Address - Fax:
Practice Address - Street 1:12989 JUPITER RD
Practice Address - Street 2:106
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75238-3212
Practice Address - Country:US
Practice Address - Phone:214-343-9115
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-12-07
Last Update Date:2016-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty