Provider Demographics
NPI:1437304771
Name:BOB JING DDS PA
Entity Type:Organization
Organization Name:BOB JING DDS PA
Other - Org Name:7 DAY DENTAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:BOB
Authorized Official - Middle Name:X
Authorized Official - Last Name:JING
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:214-738-1528
Mailing Address - Street 1:2925 WESTMINSTER AVE
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75205-1508
Mailing Address - Country:US
Mailing Address - Phone:214-987-9446
Mailing Address - Fax:817-529-1795
Practice Address - Street 1:2246 JACKSBORO HWY
Practice Address - Street 2:SUITE 112
Practice Address - City:FORT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76114-2330
Practice Address - Country:US
Practice Address - Phone:817-529-1799
Practice Address - Fax:817-529-1795
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-12-01
Last Update Date:2008-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty