Provider Demographics
NPI:1881010924
Name:PRECIOUS SMILE DENTAL AND ORTHODONTICS
Entity Type:Organization
Organization Name:PRECIOUS SMILE DENTAL AND ORTHODONTICS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:NHI
Authorized Official - Middle Name:THUY
Authorized Official - Last Name:NGUYEN
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:214-543-3876
Mailing Address - Street 1:4809 COLUMBIA AVE
Mailing Address - Street 2:SUITE B
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75226-1034
Mailing Address - Country:US
Mailing Address - Phone:214-827-7733
Mailing Address - Fax:214-827-7733
Practice Address - Street 1:4809 COLUMBIA AVE
Practice Address - Street 2:SUITE B
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75226-1034
Practice Address - Country:US
Practice Address - Phone:214-827-7733
Practice Address - Fax:214-827-7777
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-03-13
Last Update Date:2014-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX218851223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty