Provider Demographics
NPI:1295259786
Name:D&A DENTAL, PLLC
Entity type:Organization
Organization Name:D&A DENTAL, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:DARYA
Authorized Official - Middle Name:
Authorized Official - Last Name:TIMIN
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:214-925-9270
Mailing Address - Street 1:6162 E MOCKINGBIRD LN STE 205
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75214-6930
Mailing Address - Country:US
Mailing Address - Phone:214-295-9270
Mailing Address - Fax:214-660-5340
Practice Address - Street 1:6162 E MOCKINGBIRD LN STE 205
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75214-6930
Practice Address - Country:US
Practice Address - Phone:214-295-9270
Practice Address - Fax:214-660-5340
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-07-27
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX28285261QD0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1275893520OtherNPI1