Provider Demographics
NPI:1891939047
Name:ACCESS DENTAL OF WEBB CHAPEL
Entity Type:Organization
Organization Name:ACCESS DENTAL OF WEBB CHAPEL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:TIEN
Authorized Official - Middle Name:DINH
Authorized Official - Last Name:PHAN
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:682-365-9115
Mailing Address - Street 1:10909 WEBB CHAPEL RD
Mailing Address - Street 2:SUITE #121
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75229-3739
Mailing Address - Country:US
Mailing Address - Phone:214-357-6500
Mailing Address - Fax:
Practice Address - Street 1:10909 WEBB CHAPEL RD
Practice Address - Street 2:SUITE #121
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75229-3739
Practice Address - Country:US
Practice Address - Phone:214-357-6500
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-04-30
Last Update Date:2009-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty