Provider Demographics
NPI:1023749447
Name:N.E. DENTISTRY PLLC
Entity type:Organization
Organization Name:N.E. DENTISTRY PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SURGICAL PROSTHODONIST
Authorized Official - Prefix:DR
Authorized Official - First Name:MOUNIR
Authorized Official - Middle Name:
Authorized Official - Last Name:ISKANDAR
Authorized Official - Suffix:
Authorized Official - Credentials:DDS, MSD
Authorized Official - Phone:972-258-1702
Mailing Address - Street 1:1235 KINWEST PKWY
Mailing Address - Street 2:
Mailing Address - City:IRVING
Mailing Address - State:TX
Mailing Address - Zip Code:75063-3403
Mailing Address - Country:US
Mailing Address - Phone:972-258-1702
Mailing Address - Fax:
Practice Address - Street 1:1235 KINWEST PKWY
Practice Address - Street 2:
Practice Address - City:IRVING
Practice Address - State:TX
Practice Address - Zip Code:75063-3403
Practice Address - Country:US
Practice Address - Phone:972-258-1702
Practice Address - Fax:972-258-1703
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-06-17
Last Update Date:2022-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Multi-Specialty
No261QM2500XAmbulatory Health Care FacilitiesClinic/CenterMedical SpecialtyGroup - Multi-Specialty
No261QS0112XAmbulatory Health Care FacilitiesClinic/CenterOral and Maxillofacial Surgery