Provider Demographics
NPI:1447781612
Name:D2D DENTAL MGMT, PLLC
Entity Type:Organization
Organization Name:D2D DENTAL MGMT, PLLC
Other - Org Name:HELLO DENTAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:CHO
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:424-331-2778
Mailing Address - Street 1:8189 MIDTOWN BLVD
Mailing Address - Street 2:APT 12317
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75231-4578
Mailing Address - Country:US
Mailing Address - Phone:424-331-2778
Mailing Address - Fax:
Practice Address - Street 1:200 S. BEAUCHAMP BLVD
Practice Address - Street 2:SUITE 104
Practice Address - City:PRINCETON
Practice Address - State:TX
Practice Address - Zip Code:75407
Practice Address - Country:US
Practice Address - Phone:424-331-2778
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-03-21
Last Update Date:2017-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX274231223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty