Provider Demographics
NPI:1669748117
Name:METROPLEX ENDODONTICS
Entity type:Organization
Organization Name:METROPLEX ENDODONTICS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:KARLA
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:BISHOP
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:972-780-0068
Mailing Address - Street 1:150 EAST HIGHWAY 67
Mailing Address - Street 2:SUITE 230
Mailing Address - City:DUNCANVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:75137-5137
Mailing Address - Country:US
Mailing Address - Phone:972-780-0068
Mailing Address - Fax:972-780-0192
Practice Address - Street 1:150 EAST HIGHWAY 67
Practice Address - Street 2:SUITE 230
Practice Address - City:DUNCANVILLE
Practice Address - State:TX
Practice Address - Zip Code:75137-5137
Practice Address - Country:US
Practice Address - Phone:972-780-0068
Practice Address - Fax:972-780-0192
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:METROPLEX ENDODONTICS
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2012-03-29
Last Update Date:2012-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223E0200XDental ProvidersDentistEndodonticsGroup - Single Specialty