Provider Demographics
NPI:1568582674
Name:A & A DENTAL ENTERPRISE, P.A.
Entity Type:Organization
Organization Name:A & A DENTAL ENTERPRISE, P.A.
Other - Org Name:A PLUS DENTAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:ANDREW
Authorized Official - Middle Name:H
Authorized Official - Last Name:PHAN
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:817-276-8500
Mailing Address - Street 1:2596 E ARKANSAS LN
Mailing Address - Street 2:SUITE 156
Mailing Address - City:ARLINGTON
Mailing Address - State:TX
Mailing Address - Zip Code:76014-1764
Mailing Address - Country:US
Mailing Address - Phone:817-276-8500
Mailing Address - Fax:
Practice Address - Street 1:2596 E ARKANSAS LN
Practice Address - Street 2:SUITE 156
Practice Address - City:ARLINGTON
Practice Address - State:TX
Practice Address - Zip Code:76014-1764
Practice Address - Country:US
Practice Address - Phone:817-276-8500
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-30
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty