Provider Demographics
NPI:1609342864
Name:DALLAS DENTAL ASSOCIATES - WHITE SETTLEMENT PLLC
Entity Type:Organization
Organization Name:DALLAS DENTAL ASSOCIATES - WHITE SETTLEMENT PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:J
Authorized Official - Last Name:WINGFIELD
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:678-906-1769
Mailing Address - Street 1:9636 BARTLETT CIR
Mailing Address - Street 2:
Mailing Address - City:FORT WORTH
Mailing Address - State:TX
Mailing Address - Zip Code:76108-4454
Mailing Address - Country:US
Mailing Address - Phone:817-500-9133
Mailing Address - Fax:
Practice Address - Street 1:9636 BARTLETT CIR
Practice Address - Street 2:
Practice Address - City:FORT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76108-4454
Practice Address - Country:US
Practice Address - Phone:817-500-9133
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-10-15
Last Update Date:2018-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental
No1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty