Provider Demographics
NPI:1548433089
Name:AYAS FAMILY DENTISTRY, P.C.
Entity Type:Organization
Organization Name:AYAS FAMILY DENTISTRY, P.C.
Other - Org Name:ART OF DENTISTRY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:TAREK
Authorized Official - Middle Name:M
Authorized Official - Last Name:AYAS
Authorized Official - Suffix:
Authorized Official - Credentials:DDS, PC
Authorized Official - Phone:817-468-8839
Mailing Address - Street 1:3620 S COOPER ST STE 140
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:TX
Mailing Address - Zip Code:76015-3477
Mailing Address - Country:US
Mailing Address - Phone:817-468-8839
Mailing Address - Fax:
Practice Address - Street 1:3620 S COOPER ST STE 140
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:TX
Practice Address - Zip Code:76015-3477
Practice Address - Country:US
Practice Address - Phone:817-468-8839
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-04
Last Update Date:2008-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX175281223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty