Provider Demographics
NPI:1386834182
Name:DENTAL EXPERTS, PA
Entity Type:Organization
Organization Name:DENTAL EXPERTS, PA
Other - Org Name:DENTAL DREAMS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR DOCTOR CREDENTIALING
Authorized Official - Prefix:
Authorized Official - First Name:PHIL
Authorized Official - Middle Name:
Authorized Official - Last Name:KURAL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:630-750-1405
Mailing Address - Street 1:1111 W AIRPORT FWY
Mailing Address - Street 2:UNIT 121
Mailing Address - City:IRVING
Mailing Address - State:TX
Mailing Address - Zip Code:75062-6203
Mailing Address - Country:US
Mailing Address - Phone:214-596-0003
Mailing Address - Fax:214-596-0751
Practice Address - Street 1:1111 W AIRPORT FWY STE 121
Practice Address - Street 2:
Practice Address - City:IRVING
Practice Address - State:TX
Practice Address - Zip Code:75062-6204
Practice Address - Country:US
Practice Address - Phone:214-596-0003
Practice Address - Fax:214-596-0751
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-27
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Multi-Specialty