Provider Demographics
NPI:1568056703
Name:OMNI DENTAL III PLLC
Entity Type:Organization
Organization Name:OMNI DENTAL III PLLC
Other - Org Name:CARESS DENTAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:MARCUS
Authorized Official - Last Name:CHEI
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:214-326-9077
Mailing Address - Street 1:6401 NEW YORK AVE UNIT 155
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:TX
Mailing Address - Zip Code:76018-3175
Mailing Address - Country:US
Mailing Address - Phone:817-642-7860
Mailing Address - Fax:817-612-9626
Practice Address - Street 1:6401 NEW YORK AVE UNIT 155
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:TX
Practice Address - Zip Code:76018-3175
Practice Address - Country:US
Practice Address - Phone:817-642-7860
Practice Address - Fax:817-612-9626
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-02-28
Last Update Date:2021-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty