Provider Demographics
NPI:1679009898
Name:TOWNE VIEW DENTAL CARE
Entity Type:Organization
Organization Name:TOWNE VIEW DENTAL CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:FNU
Authorized Official - Middle Name:
Authorized Official - Last Name:ROOPAM
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:972-561-0232
Mailing Address - Street 1:6017 MADELINE LN
Mailing Address - Street 2:
Mailing Address - City:FLOWER MOUND
Mailing Address - State:TX
Mailing Address - Zip Code:75028-4847
Mailing Address - Country:US
Mailing Address - Phone:972-561-0232
Mailing Address - Fax:
Practice Address - Street 1:1900 LONG PRAIRIE RD
Practice Address - Street 2:SUITE 132
Practice Address - City:FLOWER MOUND
Practice Address - State:TX
Practice Address - Zip Code:75022-4217
Practice Address - Country:US
Practice Address - Phone:972-561-0232
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-05-08
Last Update Date:2017-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX30297122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty