Provider Demographics
NPI:1427592245
Name:CHRISTINA DAWSON, DDS, PLLC
Entity Type:Organization
Organization Name:CHRISTINA DAWSON, DDS, PLLC
Other - Org Name:DAWSON FAMILY DENTISTRY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:CHRISTINA
Authorized Official - Middle Name:SIMS
Authorized Official - Last Name:DAWSON
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:972-317-1581
Mailing Address - Street 1:1278 JUSTIN RD
Mailing Address - Street 2:SUITE 108
Mailing Address - City:LEWISVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:75077-2200
Mailing Address - Country:US
Mailing Address - Phone:972-317-1581
Mailing Address - Fax:972-317-4836
Practice Address - Street 1:1278 JUSTIN RD
Practice Address - Street 2:SUITE 108
Practice Address - City:LEWISVILLE
Practice Address - State:TX
Practice Address - Zip Code:75077-2200
Practice Address - Country:US
Practice Address - Phone:972-317-1581
Practice Address - Fax:972-317-4836
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-12-13
Last Update Date:2016-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX30989122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty