Provider Demographics
NPI:1700664000
Name:SPECIALTY TOP DENTAL PLLC
Entity Type:Organization
Organization Name:SPECIALTY TOP DENTAL PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ORTHODONTIST
Authorized Official - Prefix:
Authorized Official - First Name:NAJD
Authorized Official - Middle Name:
Authorized Official - Last Name:ASWAD
Authorized Official - Suffix:
Authorized Official - Credentials:BDS, MS
Authorized Official - Phone:571-699-6844
Mailing Address - Street 1:8000 COIT RD STE 200
Mailing Address - Street 2:
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75025-6820
Mailing Address - Country:US
Mailing Address - Phone:469-362-8088
Mailing Address - Fax:
Practice Address - Street 1:8000 COIT RD STE 200
Practice Address - Street 2:
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75025-6820
Practice Address - Country:US
Practice Address - Phone:469-362-8088
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-09-18
Last Update Date:2023-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Multi-Specialty
No1223P0300XDental ProvidersDentistPeriodonticsGroup - Multi-Specialty
No1223P0700XDental ProvidersDentistProsthodonticsGroup - Multi-Specialty
No1223X0400XDental ProvidersDentistOrthodontics and Dentofacial OrthopedicsGroup - Multi-Specialty