Provider Demographics
NPI:1417265547
Name:DPWP, P.L.L.C.
Entity Type:Organization
Organization Name:DPWP, P.L.L.C.
Other - Org Name:1ST IN SMILES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:JESSICA
Authorized Official - Middle Name:
Authorized Official - Last Name:SEMPLE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:972-380-8105
Mailing Address - Street 1:1300 VILLAGE CREEK DR
Mailing Address - Street 2:
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75093-4449
Mailing Address - Country:US
Mailing Address - Phone:972-380-8105
Mailing Address - Fax:972-380-0137
Practice Address - Street 1:1300 VILLAGE CREEK DR
Practice Address - Street 2:
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75093-4449
Practice Address - Country:US
Practice Address - Phone:972-380-8105
Practice Address - Fax:972-380-0137
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-09-23
Last Update Date:2010-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX157681223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty